Manitoba Lung Association

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Manitoba Lung Association is a non-profit and volunteer-based health charity registered with Canada Revenue Agency under Registration Number 10795-2798-RR0001

A tax receipt will be sent to the e-mail address provided when you complete your donation.
Learn about the Manitoba Lung Association's approved e-receipting


Information About You
Title
*First Name
*Last Name
*Address

*City
*Province/State
*Postal Code
*Country
* Phone	- - Ext.
*E-mail
*Re-enter E-mail
*Note: You must fill in these fields to receive an official receipt for income tax purposes.

Fund and Amount
*Fund Designation
Donation amount in Canadian dollars $1000 $500 $250 $100 $50 $25 Other $

Credit Card Information
*Credit Card
*Credit Card Number
*Cardholder Name
If you are using a corporate credit card, please enter the name of the person shown on the card, not the company name.
*Expiry Date:
*CVV:
Credit card verification number (CVV) For security reasons, we need your credit card's verification number. If you have a MasterCard or Visa, your card verification number is printed on the back of the card. It's the last 3 numbers printed above the signature area. If you have an American Express card, your card verification number is printed on the front of your card, above your card number. It's a set of four numbers.
Please click Submit button only once * Indicates a required field. If you have any questions, or if you would like to donate by phone, please call us at 204-774-5501