Community Champion - Pledge Form

Community Champion - Pledge Form

Wellness Centre Champion $20,000+ make a bold investment in Miramichi’s future. As a Champion, your lasting legacy will be permanently recognized on the Donor Wall of the Arbec Wellness Centre — a symbol of your commitment to health, community, and connection.
Organization Name:
Contact Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address:
example@example.com
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
PLEDGE STATEMENT
I wish for my organization to be recognized as a:
Amount
In recognition of your gift, the City of Miramichi will recognize your organization as part of the Donor Recognition Wall.
Your preferred recognition name:
Please note:
All recognition is subject to the review of the City of Miramichi. The City of Miramichi reserves the right to decline gifts or request a donor to provide an alternative naming under certain circumstances.
If you choose not to be publicly recognized for your gift, we will honour your wishes. Please check the following:
I certify that the above information is accurate.
Should be Empty:

PLEDGE STATEMENT