Programs & Services

Benchmark Program Donation Request

Instructions

Please complete the form and click submit. Required fields are marked with an asterisk (*).

Submit your donation cheque to the Benchmark Program Coordinator, payable to City of Edmonton

Donor Information

Name:

Address:

City:

Province:

Postal Code:

Phone:

Cell Phone:

Email:

Tax Information

Same information as Donor:

YesNo

Name:

Address:

City:

Province:

Postal Code:

Add another party for tax receipt

Donation and Bench Information

Donation Type:

Style:

Location/Description:

Plaque Information

Plaque Size: 3" x 11"
Limit: 3 to 4 lines of text (approx. 40 characters/line

Line 1:

Line 2:

Line 3:

Line 4:

Captcha

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Characters

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This information is being collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act (FOIP), and will be used by the City of Edmonton to contact your organization regarding your request. All information collected by the City of Edmonton is governed by the provisions of the FOIP Act. If you have any questions about the collection, use or disclosure of this information, please contact the Benchmark Program Coordinator.

For More Information

City of Edmonton Benchmark Program
Westwood Site,
12304 107 Street,
Edmonton, AB,
T5G 2S7

Title	Benchmark Program Coordinator
Telephone	In Edmonton: 311 Outside Edmonton: 780-442-5311

Title

Benchmark Program Coordinator

Telephone

In Edmonton: 311

Outside Edmonton: 780-442-5311