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Tax Receipts

The Marie-Clarac Hospital Foundation issues tax receipts for donations (excluding purchase of books or raffle tickets). For cocktail and other event tickets, the receipt issued will represent the net donation: that is, the purchase price of the event ticket minus the value of the benefit received (buffet, meals…). Receipts are sent twice a year, in January and June.

 

Form

The fields marked with an asterisk are obligatory.

First Name *

Surname *

Company

Title

Email *

Telephone *

Address *

Address 2

City *

Province *

Postal Code *

Donation

Amount of donation

 In memory of In honour of

In memory of / In honour of

Person to inform of this donation (undisclosed amount)

Address

City

Postal Code

Number of books requested
x 25 $ (cost of book + shipping fees)