Your Full Name (required) Your Email Address (required) Would you like to receive the bi-weekly winners email?---YesNo Would you like to receive the Foundation’s e-Newsletter?---YesNo Would you like to add additional names on the ticket(up to 2 additional names) 1st additional name 2nd additional name Is this ticket purchase a gift?---YesNo Recipient Name Recipient Address Recipient City Recipient ProvinceOntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutPrince Edward IslandQuebecSaskatchewanYukon Recipient Postal Code Recipient Telephone Recipient Email (optional)
Δ
our Full Name (required) Your Email Address (required) Select the fund your donation will supportGeneralChild and Adolescent Mental Health Unit - Gislain's StoryGreatest Need FundCentral Fetal Monitoring SystemChild & Adolescent Mental Health UnitGreen Light LaserPoints for PaulAcute Inpatient PsychiatryCancer Care FundCardiac Care FundCritical Care FundDiagnostic Imaging FundEducation Endowment FundLong Term Care FundMaternal/Child Care FundMedical Care FundMental Health - Early Intervention in PsychosisMental Health - Psychosis InterventionRegional Mental HealthRenal Dialysis Care Fund Would you like to receive information on monthly giving?---YesNo Dedicate your donation---In memory ofIn honour of Dedicated to Message for the North Bay Regional Health Centre Foundation
50 College Drive, P.O. Box 2500 North Bay, ON P1B 5A4 Tel: 705-474-8600
680 Kirkwood Drive, Sudbury, ON P3E 1X3 Tel: 705-675-9193 Fax: 705-675-6817
Let us guide you to where you need to go.
Visitors Guide