Home > Hampton's Summit Centre Seat Dedication Form

Hampton's Summit Centre Seat Dedication Form

Name: Ord Digital
Price range: $

Thank you for having donated by dedicating one or more seats in Hampton's new Summit Centre! Please fill out the form below!

Kindly fill out the form to dedicate your seat(s). If you have any questions about this form, please contact jennifer@hampton.ca or 506-832-6065 for more information.

Hampton's Summit Centre Seat Dedication Form

Dedication plaque 1

Line 2 - Name(s) for plaque

40 characters left

Line 3 - Your personal message (optional)

40 characters left

Dedication plaque 2

Line 2 - Name(s) for plaque

40 characters left

Line 3 - Your personal message (optional)

40 characters left

Dedication plaque 3

Line 2 - Name(s) for plaque

40 characters left

Line 3 - Your personal message (optional)

40 characters left

Dedication plaque 4

Line 2 - Name(s) for plaque

40 characters left

Line 3 - Your personal message (optional)

40 characters left

Donor Full Name

Donor Address

Donor Phone

Donor Email

Acknowledgement

I acknowledge that the text I entered for the dedication(s) is correct.