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Prince Edward Island Lung Association is a non-profit and volunteer-based health charity registered with Canada Revenue Agency under Registration Number 13169-6445-RR0001

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

 
Information About You
 Title
*First Name
*Last Name
Organization name
*Street number
*Street name
Apartment/Unit
*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
  If you chose "A designated area of my choice", please enter it here:
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.

 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 (902) 892-5957