1
Transaction
2
Personal information
3
Payment
FR
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Gift for a Hero
Transaction
Hero Name
Which department ?
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Family Birth Unit
Emergency
Operating room
Intensive Care Unit
Medical Surgery Unit
Long term care
Others
Don en ligne
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$50.00
$75.00
$100.00
Other
Subtotal:
Total:
$
For all donations of $75 or more, a LaSalle Hospital Heroes commemorative pin will be given to them.
Total:
$
Next
Organization's registration number:
11892 1634 RR0001
Time remaining in your session:
15
Time remaining in your session:
15