2026 Cardiac Classic presented by National Bank Every donation helps fund leading-edge cardiac care and research at St. Boniface Hospital, improving outcomes and bringing hope to patients and families across Manitoba. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Your Gift2Donor Info & PaymentHow often would you like to donate? *This is my Cardiac Classic Gift!Make me a monthly donor!À quelle fréquence souhaitez-vous donner? *Je veux verser des dons mensuels.Ceci est mon unique don d’amour.Monthly Donation *Donation - $50.00Donation - $25.00Donation - $20.00Donation - $15.00Donation - $10.00Surprise us! - $0.00One Time Donation *Donation - $500.00Donation - $200.00Donation - $100.00Donation - $50.00Donation - $25.00Surprise us! - $0.00Custom MonthlyMinimum Amount: $10.00Custom One TimeMinimum Amount: $10.00I’d like my gift to supportArea of greatest needCardiac CareColorectal SurgeryEmergency DepartmentMental HealthNICUPalliative CareMedical ResearchObstetrics, Gynecology & NeonatologyWomen's Heart Health ResearchOtherDedicate this donation?Yes, please 2No, thank youLet us know what area you would like to support.Souhaitez-vous dédier ce don ? *OuiNonDedication Type *In memory ofIn celebration ofType d’hommage *En hommage àPour célébrerTribute First Name *Tribute Last Name *Would you like us to notify anyone of your donation?Yes, send an eCard.Yes, mail a cardNo, thank youSouhaitez-vous que nous informions quelqu’un de votre don ?Oui, veuillez envoyer une carte virtuelle.Oui, envoyer la carteNon, merciRecipient First Name *Recipient Last Name *Prénom de la personne à qui l’hommage est rendu *Nom de la personne à qui l’hommage est rendu *Please email my card to (email address): *eCard Image *In Memory ofIn Celebration ofHope & HealingeCard Subject eCard MessagePreview eCard Veuillez envoyer ma carte par courriel à (adresse courriel) : *Image de la carte virtuelle *À la mémoire deEn hommage àEspoir et guérisonObjet de la carte virtuelle Message de la carte virtuelle Aperçu de la carte virtuelle Recipient Title: *Select OneMr.Mrs.Ms.MissDr.Recipient Name: *Recipient Mailing Address 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RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryHome address is required by CRA for tax receipts Legal Organization NameThe charitable tax receipt will be issued in the legal organization name provided below. Contact Name *FirstLastContact Phone NumberContact Email *Organization Mailing Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryAddress is required by CRA for tax receipts Organization Email Address *Organization Phone NumberMake this an anonymous donation?Yes, make it anonymous.AgreementYes, I would like to receive email updates from the St. Boniface Hospital Foundation according to my subscription preferences. I understand I can unsubscribe at any time.We are committed to protecting the privacy and confidentiality of your personal information. The information you provide will be used to administer and acknowledge your donation, communicate with you about your giving, and to provide you with information about the Foundation and its events. Nous nous engageons à protéger la confidentialité de vos renseignements personnels. Les renseignements que vous nous fournissez seront utilisés pour administrer et gérer votre don, communiquer avec vous à ce sujet et, si vous y avez consenti, vous transmettre des informations sur la Fondation et ses événements. Your Donation$0.00Payment *Once you hit the Donate button please wait until you are directed to the thank you notification. You will receive an email copy of your form submission. Une fois que vous avez appuyé sur le bouton Donner, veuillez attendre jusqu'à ce que vous soyez dirigé vers la notification de remerciement. 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