Community Engagement Events

Français Sponsor Matthew

Thank you for your generous support.

Donation Information

$15.00

$25.00

$50.00

Other

Connect With Facebook

Log in with your Facebook account to save time by prepopulating the form below with information from your Facebook account.

Contact Information

Name

Address

Additional Questions

Allow ALS Canada to contact me by email.

I give ALS Canada permission to contact me by mail (post).

I give ALS Canada permission to contact me by phone

Display my name on the donor listing.

Display Name

Display my donation amount on the donor listing.

Payment Information

PRIVACY STATEMENT
The ALS Society of Canada respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to protecting your privacy. The information you provide on this form will be used to keep you informed and up to date on the activities of the ALS Society of Canada, including newsletters, programs, services, events, donations and opportunities to volunteer – this information will not be sold or traded with third party organizations. Please notify us of any changes by phone at 1-800-267-4257 or via email at info@als.ca, and we will gladly accommodate your request.

Cookie Policy