Canterbury Hospital
Canterbury in Bloom
Make a Donation
We sincerely thank you for your support.
SLHD Donation Form
Donation
Donation Information
Amounts less than $2 are not tax deductible
$1000
$500
$300
$100
$70
$50
$30
*
Amount $
Donations of $250 and above entitles you to a free Elimination Handbook as a Thank You gift.
Send me the free Elimination Diet Handbook
Send gift to the same address
*
Please select the facility/service
your donation is for
Please select an option
Please select an option
ANZAC Research Institute
Balmain Hospital
Canterbury Hospital
Community Health
Concord Repatriation General Hospital
Mental Health
Royal Prince Alfred Hospital
SLHD Health Centres
Sydney Local Health District
*
Please direct my donation to
Please select an option
Canterbury in Bloom
General Donations
Medical equipment
Mothers and Babies
Urology
Type of gift
Personal Donation
Other Gift Type
Would you like to leave a message?
Customise your bloom plaque
*
Please tick the colour of your bloom plaque:
Blue
Pink
Purple
Green
Orange
Name on plaque
Date of Birth
Donor Information
Title
A/Prof
Dr
Master
Miss
Mr
Mrs
Ms
Mx
Other
Prof
First name
Surname
Country
Australia
Other
Country name
Address
Address
Suburb
Post Code
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
State
Phone
*
Email
*
Would you like to receive news about the work being done in Sydney Local Health District?
Yes
No
*
I'm not a robot
Refresh
When you press
"Donate Now"
you will be taken to a secure area where you can safely enter your credit card information.
After payment please click 'Finish' to return to our website for more options.
×
Blue Plaque
×
Pink Plaque
×
Purple Plaque
×
Green Plaque
×
Orange Plaque