Online Donate Form

Looking to donate a different way?

Donate by phone (call your local Lung Association toll-free)

Donate by mail  Click to download this donation form and mail it to your provincial Lung Association.

Donate in person (Visit your local Lung Association)

I am donating as:

Personal Information


Payment Information

/ (Month / Year)
As an added security measure, we ask that you enter the 4 digits on the front of your credit card, above the credit card number, called the CVV2/CCID. See sample on right.

Canadian Lung Association is a non-profit and volunteer-based health charity, located in Canada, and registered with the Canada Revenue Agency under Registration Number 10686-2998-RR0001.

You will be emailed an official Canadian tax receipt for income tax purposes.

Page Last Updated: 02/10/2018