Contact Full Name * For which year are you inquiring about a tax receipt? (yyyy) * Which Children's Hospital Foundation did you support? * --Select-- Alberta Children's Hospital Foundation BC Children's Hospital Foundation CHEO Foundation Children's Health Foundation, London Health Sciences Children's Hospital Foundation of Manitoba CHU Sainte-Justine IWK Foundation Janeway Children's Hospital Foundation Jim Pattison Children's Hospital Foundation McMaster Children's Hospital Foundation Montreal Children's Hospital Foundation SickKids Foundation Stollery Children's Hospital Foundation Unsure/ I don't know Donation Amount * Donation Date (dd/mm/yyyy) * Donation Frequency * --Select-- One Time Weekly-Bi-Weekly Monthly-Bi-Monthly Annually Please include the Branch name through which donations were set up * Have you moved or changed branches within the last 3 years? * --Select-- Yes No Street Address * Address Line 2 Province * --Select-- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon City * Postal Code * Email * Phone * Message