Gift Information

Donation Amount*
  • $25
  • $50
  • $100
  • $200
  • $250
  • Other $

Contact Information

State / Province*
Confirm Email*

Tax receipts will be issued for donations in the amount of $20 or more.  


Please feel secure. We only use your personal information to provide services and to keep you informed and up to date on the activities of CMHA including programs, services, special events, funding needs, opportunities to volunteer or to give, and more through periodic contacts. If at any time you wish to be removed from any of these contacts simply contact us by phone at 250-542-3114 or at


We do not trade or sell our donor lists.

Recognition Preference
  • I would like my donation to be anonymous

Communication Preferences

We don't share information with any third parties and you can unsubscribe at any time by contacting us.
  • Please keep me informed about my donation and CMHA Vernon projects.

Payment Information

Name on Card*
Card Number*
Additional Comments

Security Code