Workplace Giving Campaign Donation Confirmation

The information provided will go directly to Princess Margaret Cancer Foundation and this is a secure site.

Please complete all requested fields.

PLEASE NOTE: YOU MUST have opted in to share your information with us at Princess Margaret Cancer Foundation during your Workplace Giving Campaign online donation process in order to proceed. If not, the Princess Margaret Cancer Foundation will have no way to properly track your donation and therefore, your donation will be processed under the general fund for Scotiabank Road Hockey to Conquer Cancer and will not appear on your participant page.

* Required Field
User Type: *
First Name: *   
Last Name: *
E-mail: *
Confirm e-mail: *  
Your Employer's Name: *
Country: *
Address: *
City: *
Province / State: *  
Postal Code / ZIP: *  
Phone Number: *      Phone Extension:
Which Workplace Campaign did you support: *
Participant First Name:
Participant Last Name:
Team Name:
Total Pledged Amount: *
Donation Frequency *  

Are you supporting another participant? *