Donor Wall

RECOGNIZING OUR DONORS

In grateful recognition of the people and the businesses who have joined the Crystal Gala Foundation in the fight against breast cancer, we acknowledge contributions of $1,000 and more with a permanent plaque located on the second floor of the Crystal Gala Breast Health Centre located at the Abbotsford Regional Hospital and Cancer Centre.

For $1,000, your or your company name will be recognized with a permanent plaque. Our Donor Wall is updated once per year at the start of each year.

Please submit the form below or alternatively, download the form as a PDF

    Name

    Mailing Address

    City

    Province

    Postal Code

    Email

    Phone Number

    Type of Donation

    PersonalOn behalf of an organization

    Name to go on Plaque

    or In Memory Of

    YesNo

    Donation Amount

    Payment Method

    ChequeCredit Card

    Would You Like a Tax Receipt

    YesNo

    If Yes, in What Name?