Donation Form

Tribute Cards

Our beautiful selection of cards can help you express your sentiment and support Alzheimer Groupe (AGI) at the same time. A thoughtful, personalized message printed on the Tribute Card will be sent
on your behalf and a tax receipt will be issued.

Simply select the tribute card you’d like on the form below,
fill in your message, make the donation and the card will be sent. *E-mail address (required for e-cards)

Tribute Card Information

Donation Amount (minimum amount $15)

$25

$100

$50

Please select a card

Add your personal message on the Tribute Card

I would like to dedicate this donation

Type of Tribute

In Memory of/Honor of:

Send Tribute Card to:

Title

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Donor's Contact Information

First Name

Last Name

Company Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Alzheimer Groupe inc. and I will donate $0.00.No. I will donate $0.00 and Alzheimer Groupe inc. will cover the processing costs.

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Alzheimer Groupe Inc. (AGI) is a charitable organization that offers therapeutic programs to individuals living with

Alzheimer’s disease and other dementias. Additionally, AGI provides support services to families and professional care partners,

focusing on best practices in dementia care, while sensitizing the community at large through education and awareness.