Intention of donation form

By choosing to make a donation in your will or estate plan to the Fondation Jean Lapointe , you are helping to support the fight against addictions and the sustainability of Maison Jean Lapointe.

We would be grateful to be informed of your donation in order to thank you and learn more about your generous gesture.

Please complete this confidential form and a member of our team will contact you shortly.

Form

Your contact details
* Required
Your planned gift
What type of donation have you designated to the Fondation Jean Lapointe?
Do you prefer to be contacted by email or by phone?
Do you have any information to share with us before contacting you?