Take Your Seat - Pledge Form

Take Your Seat - Pledge Form

The Arbec Wellness Centre will be the heart of health, recreation, and connection for decades to come. With a $500 donation, your name or your family’s name will be permanently displayed on a seat plaque in the new NHL-sized arena — a lasting symbol of community pride.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PLEDGE STATEMENT
I/we pledge a total gift of $enter amount* to the City of Miramichi payable as a one-time gift as indicated below.

In recognition of your gift of $500 or more, the City of Miramichi will recognize you or your family with a plaque on one of the seats in the new arena.
Your preferred recognition name:
If you choose not to be publicly recognized for your gift, we will honour your wishes. Please check the following:
Please note: Seat name recognition is restricted to individual and family names and is not available for businesses or other commercial interests. The City of Miramichi reserves the right to approve all names prior to their placement and may request a donor to provide an alternative naming under certain circumstances.
I certify that the above information is accurate,
Should be Empty:

PLEDGE STATEMENT