Sign up

Thank you for your interest in the Dal Alumni Benefits Program. Please fill out this short form, allowing up to two weeks for your application to be processed. Once your application is verified you will receive an email with instructions on how to access your discount codes and offers.

The Dal Alumni Benefits Program is administered by the Office of Advancement. If you have any questions, please contact us at alumni.benefits@dal.ca.

Personal Information

Salutation

First Name*

Last Name:*

Birthday:

Email Address:*

Confirm Email Address:*

Alumni Information

Last Faculty Attended:*

Degree:*

Degree Year:*

Banner ID:

Mailing Address

Street (line 1):*

Street (line 2):

City/Town:*

Country:*

Province/State:*

Postal Code/Zip:*

Phone:*

Additional Comments

Please be sure to check the form to make certain your information is correct. You will receive an automatic notice at the email address you provided.

Privacy: The information provided on this online form will be used by Dalhousie's Office of Advancement. Personal information contained in our records will be kept in confidence and will be used for Dalhousie-related purposes only.