Donation

• With the generosity of the community and our supporters, we are striving towards the best care possible for patients at the Prince of Wales Hospital. Thank you for choosing to support us!

• I would like to make a donation*
  • Single
  • Recurring

• Thank you for choosing to become a recurring donor to The Prince of Wales Hospital Foundation. To help us in this way please click on the button below to be taken to the page with the relevant information.

  

• Donation Amount*
  • $60
  • $110
  • $260
  • $500
  • Other
• If other please nominate the amount*
• I would like to give to:*
  Please select an option belowEmergency DepartmentFounders FundGreatest needA specific DepartmentCancer Services and Survivorship CentreDr Koroush Haghighi's workIn Memory of a Loved OneIn Celebration or In HonorKeith's ClosetWelcome packs for KilohLouisa Hope Fund For NursesMental Health ServicesNephrology Department and the work of Professor Zoltan EndreNeurointervention and Stroke ServiceThe Prince of Wales Hospital Nelune Comprehensive Cancer Centre
• Please name the loved one*
• Would you like us to send a letter of acknowledgement to the person or family of the person this donation is being made in honour of?*
  • Yes
  • No
• Please provide an address we can send the letter to.*
• Please add your personal message
• Would you like to dedicate this to a Department? If not leave blank.
• If the donation is for a special occasion please tell us what it is*
• Please state the department you would like to donate to
• Title*
  Please select oneMrMsMrsMissDrSirProf
• First Name*
• Surname*
• Email Address (your receipt will be sent to this address)*
• Phone*
• Date of Birth
  Date Format: DD slash MM slash YYYY
• Please Issue a Receipt
  • In my name
  • In my Organisation/Company name
• Company name
• Address*
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
• How did you hear about us?
  Please select oneI am a grateful patientI am family or a friend of a patientWord of mouthI've bought raffle/lottery ticketsSocial MediaWeb search (Google etc)NewspaperRadioTelevisionMailoutOther
• If you are an existing supporter please tell us how you support POWHF*
• If "other", please let us know how you heard about us.*
• Would you like to add a personal note to your donation?
• I would like to make a donation of*
  $60.00
• I would like to make a donation of*
  $110.00
• I would like to make a donation of*
  $260.00
• I would like to make a donation of*
  $500.00
• Credit Card*
  American Express

  MasterCard

  Visa

  Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code   Cardholder Name
• Name
  This field is for validation purposes and should be left unchanged.