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Donate Form
Thank You for Giving a Gift of Conversation. Your donation to the Nova Scotia Hearing and Speech Foundation will help us ensure that every person has a voice and that every voice can be heard.
Choose Your Meaningful Gift:
Gifts of Speech:
Articulation Kit -
$25
*
Communication Toolbox for Stroke Patients -
$50
*
Language Kit -
$100
*
Gifts of Hearing:
Pediatric Speech Picture Boards -
$100
*
Tinnitus Masker -
$150
*
Pocket Talker -
$250
*
Contribution of your choice towards the area of greatest equipment need:
$
Donor Information
First Name:
*
Last Name:
*
Address:
*
City:
*
Province:
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
*
Postal Code:
*
Phone Number:
*
Email Address:
*
Credit Card Type:
Visa
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Specify Other:
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Gift Recipient
Choose an option:
Please send me a gift card so I can personalize and present to my friend, family member, colleague or client.
The Hearing & Speech Foundation will send a card acknowledging your thoughtful gift to your friend, family member, colleague or client. (Please provide us with the name and address of the recipient).
Do not provide a gift receipt.
First Name:
Last Name:
Address:
City:
Province:
--
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
*
Postal Code:
Thank you for helping us ensure that every person has a voice and that every voice is heard.
Registered Charitable Number: 86874 4384 RR0001 3012233