Hair Donation Form
  • Please complete the form below and send your hair to:
    300A Wilson Ave. Toronto, Ontario, M3H 1S8

    *** Please note: to receive acknowledgement by mail may take up to 90 days. By selecting to receive an email acknowledgement, Chai Lifeline Canada will be able to send it more promptly.
  • Optional Donation Information

  • American Express
    Discover
    MasterCard
    Visa
     
  • $ 0.00 CAD