UPDATE YOUR DONOR INFORMATION

Have you recently moved? Do you have a new phone number? Let us know so that we can keep you informed.

If your donor account information has changed, please provide us with the appropriate information using the form below. If you have any questions or would prefer providing updated information by phone, call us at 519-246-5906.

Required fields are marked with *

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Please provide your OLD contact information below:

Please simply enter "same" in required fields if this particular information has not changed.

Please provide your NEW contact information below:



Would you like to be contacted by email?

© Strathroy Middlesex General Hospital Foundation • 395 Carrie Street, Strathroy, ON N7G 3J4 • 519-246-5906
Charitable Registration # 13297 4270 RR0001