Espanola Regional Hospital Foundation
825 McKinnon Dr. Espanola ON P5E 1M3 | 705-869-1420
Fund*
General Fund
Nursing Home Recreation
Palliative Care Program
Foundation Classic Golf Tournament
Cardiac Monitoring System
In Memory of
Gift Information
Donation Amount*
$
Donation Frequency*
One Time
Annually
Semi-Annually
Quarterly
Monthly
Weekly
Contact Information
Country*
(None Selected)
Australia
Canada
New Zealand
United Kingdom
United States
State / Province*
Address*
City*
State / Province*
*
*
*
*
*
*
Email*
Phone*
Payment Information
Amount*
$
After you complete this form, select
SUBMIT
to enter your payment details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments
Powered by
eTapestry