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Medicine Hat Memorial Arboretum

Give the gift of trees

 

A charitable receipt for income tax purposes will be issued to the Purchaser for each sponsorship.

As part of the dedication, a plaque wall has been developed. Please indicate below the wording for your plaque.

Do you want to include 'donated by' name on plaque?
 
Please check one of the following
 
How would you like to pay the above fee?
 

Pursuant to s. 33 (c) of the Freedom of Information and the Protection of Privacy Act, the personal information collected on this form is for the purpose of an operating program or activity of the City of Medicine Hat. The City of Medicine Hat must collect personal information directly from the individual that the information is about unless another method of collection is authorized by the individual or by an enactment of Alberta or Canada. The personal information provided will be protected under Part 2 of the Freedom of Information and the Protection of Privacy Act and will be used for processing your application.

Questions regarding the collection and use of personal information can be directed to the FOIPP Head of Local Body at 403-529-8234.

If you agree to this contribution, please sign and submit this application and proceed towards your payment.

By submitting this application/form you acknowledge and agree that any electronic signature provided by you herein is the same as a handwritten signature for the purposes of legality, validity, enforceability, and admissibility.

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