Donation Form

In memory of Marine Aube-Martin (1987-2022)
En mémoire de Marine Aube-Martin (1987-2022)

Your donation will help AMI-Quebec support families who have a loved one living with mental illness. All our programs are free and you are helping to keep them that way. Thank you for your donation.

Votre don aidera AMI-Québec à soutenir les familles dont un proche vit avec une maladie mentale. Tous nos programmes sont gratuits et vous contribuez à les garder ainsi. Merci pour votre don.

[email protected] 514-486-1448

Montant du don/Donation Amount

Si vous avez un message que vous aimeriez envoyer à la famille de Marine, veuillez l'écrir ici/If you have a message you'd like to send to Marine’s family, please enter it here.

Information/Contact Information

Prénom/First Name

Nom de famille/Last Name

Adresse/Address

Ville/City

Province

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Téléphone/Phone Number

Nous aimons tenir nos donateurs informés de nos programmes et services.
Comment aimeriez-vous avoir de nos nouvelles? (en anglais seulement)
We like to keep our donors informed about our programs and services.
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Carte de crédit/Credit Card Information

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Comme ci-dessus/Same As Above

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Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.