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Donation Amount:

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Direct my donation to:

	Name	Amount	Percentage
	Dental Alumni Association Endowment Scholarship	$
	Dental Alumni Association Endowment Bursary	$
	Dental Hygiene Alumni Chapter Bursary	$
	Gateway Alumni Association 100th Anniversary Fund	$
	Library & Info Studies Alumni Association Endowment Scholarship	$
	Mixed Chorus Alumni Association Conductors’ Endowment	$
	Vancouver Alumni Chapter Bursary	$
	An area not listed (please fill out the information below)	$
Total:	$0.00	0%

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Protection of Privacy - The personal information requested on the following form is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act for the purpose of updating and maintaining alumni/donor records. The information will be used for the purpose of alumni engagement and philanthropic activities. Questions concerning the collection, use or disposal of this information should be directed to: FOIPP Liaison Officer, Office of Advancement, University of Alberta, 3-501 Enterprise Square, 10230 Jasper Avenue, Edmonton, AB, T5J 4P6, ph: (780) 492-7400. See our privacy policy here.

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