COVID-19 Donation Form

I would like to support the Hellenic Home for the Aged Inc. with a gift of $

I would like to support the Hellenic Home for the Aged Inc. with a gift in kind of (specify items for donation)

Location for Donation

Hellenic Home Scarborough
Hellenic Care for Seniors Toronto
Hellenic Home General

Payment Options

I/We prefer to make our donation by:

Visa MasterCard

Name on Card:

Card Number:

Expiry Date (Month/Year):

Donor Information

Mail official receipts to:

Name:

Address:

City:

Province:

Postal Code:

Phone Number:

Business Number:

Fax Number:

Email:

In all Donor Recognition associated with this gift, please list the Donor as:

I/we prefer to remain anonymous

To mail or fax this form, send to:
Patty Agrapidis
Coordinator, Special Events and Annual Giving
Hellenic Home for the Aged Inc.
33 Winona Drive
Toronto, Ontario
M6G 3Z7
Tel: (416) 654-7718 ext. 2228
Fax: (416) 654-0943
pagrapidis@hellenichome.org
www.hellenichome.org

Thank you for your thoughtful donation. Your support will enable Hellenic Home for the Aged Inc. to continue to provide exceptional care and services to our seniors.

Charitable Business Number: 107476053 RR0001