YOUR HELP IS NEEDED

Victoria’s Quilts Canada needs your help to continue to absorb the ever-increasing cost of mailing quilts to people living with cancer throughout Canada where we do not have branches. It is our Mission to provide these quilts at no charge to the recipient or to the requestor. We rely completely on charitable donations to cover the cost of mailing quilts which can be up to $4,000 per month. Income from fundraisers and donations have been considerably lower during the COVID pandemic.  If you can help us during this difficult period, please use the “DONATE” button at the top of this page to make a donation, or to sign-up to make a monthly donation. Thank you on behalf of all people living with cancer, their friends and families.

Request a quilt

IMPORTANT 
It is the policy of Victoria’s Quilts Canada to provide only one quilt per person suffering from cancer. The recipient’s name will be checked in our database and, should a duplication be found, we will not process the request. If you do not hear from us, you can assume that a quilt will be sent by our National Office or one of our Branches across Canada.

To request a quilt for someone with cancer, please fill out and submit the form below.

Your request will be placed on our recipients list and, as soon as a quilt becomes available, it will be sent out.

Please be aware that the usual wait time for a quilt to be delivered is several weeks. While you are waiting, please advise the recipient that you have requested a quilt for her or him, to prevent the parcel from being returned to us.

Note: items with stars are required.

RECIPIENT

*First name:

*Last name:

*Sex:   Female   Male

Name of parents (if recipient is a child):

Age (if a child):  

Address
*Street:


*City:

*Province/Territory:  
*Postal code:   (e.g. K2G 5Y7)
*Telephone:
(e.g. 613-843-9212)
Cell phone:

*Language preferred for card:   English   French

REQUESTOR

*First name:

*Last name:

Address
*Street:


*City:

*Province/Territory:  
*Postal code:   (e.g. K2G 5Y7)
*Telephone:
(e.g. 613-843-9212)
*E-mail:

DELIVERY INFORMATION (required if different from recipient's)

First name:

Last name:

Address
Street:


City:

Province/Territory:  
Postal code:   (e.g. K2G 5Y7)
Telephone:
(e.g. 613-843-9212)

SPECIAL INSTRUCTIONS

Message to be included on enclosed card (optional); maximum 10 words

Comments (i.e. colour preferences, urgency, etc.).
Note: We try to satisfy your colour preferences, but this is not always possible.
In such cases, we send out an alternate quilt rather than delay filling the request.

       

Before clicking the "Submit" button, you must check the "I'm not a robot" box to enable the request to go through. Please also ensure that all required fields have been filled in and that your email address is correct.

Once you have submitted the form, a new web page will pop up to confirm that we have received your request. You will not receive an email message.

If you do not see the web page confirming your request, please:

Thanks for stopping by!

Updated: July 21, 2021