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Take a Seat For the Team

Donate to: Take a Seat For the Team

Seat type:*

Amount:*

Donation amount: $0.00

Payment frequency:*

Payment Period

Number of payments:*

Payment:

Start Date:

09/22/2023

End Date:

09/22/2023

Seat inscription:

*Character limit: 20 characters x 2 lines

Suggested inscriptions

Seat inscription 2:

*Character limit: 20 characters x 2 lines

Seat inscription 3:

*Character limit: 20 characters x 2 lines

Seat inscription 4:

*Character limit: 20 characters x 2 lines

Seat inscription 5:

*Character limit: 20 characters x 2 lines

Seat inscription 6:

*Character limit: 20 characters x 2 lines

Seat inscription 7:

*Character limit: 20 characters x 2 lines

Seat inscription 8:

*Character limit: 20 characters x 2 lines

Seat inscription 9:

*Character limit: 20 characters x 2 lines

Seat inscription 10:

*Character limit: 20 characters x 2 lines

Please email at Leslie.Harnish@dal.ca if you would like to have multiple inscriptions for your multiple seats

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Tell us about yourself...

Salutation:

First Name:*

Middle Name:

Last Name:*

Date of Birth:

What is your affiliation with Dalhousie?

Affiliation:*

Affiliation Info

Affiliation:*

Alumni Info

Last Faculty Attended:*

Degree:*

Degree Year:*

Student ID:

Faculty/Staff Info

Banner ID:

Where do you live?

Address (line 1):*

Address (line 2):

Address (line 3):

City:*

Country:*

Province/State:*

Province/State: Or Region/District/County/Territory

Postal Code/Zip:

Email Address:*

Confirm Email Address:*

Phone:

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How would you like to be recognized?

Occasionally, donor lists are published by faculties to recognize their donors. Do you wish to have your name included? Please publish my name on all donor lists. Please do not publish my name on any donor list.

Check this box if you want to give anonymously. I want to give anonymously. By checking yes, your gift will remain confidential and only the Office of Advancement will be notified.

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A corporate match could double the impact of your gift Find out how

If you are Dalhousie faculty or staff, you can name a seat by Payroll deduction