Donor Information. Fill out all that apply and indicate those that do not apply. Last Name Mailing Address First Name Maiden Name Phone Number Email Have you donated before? Yes No Are there any notes about your contact information? This personal information is being collected under the authority of section 33(c) of the FOIP Act and will be used for administration purposes and to enhance the research value of the donated records. All information collected by the City of Edmonton is protected by the provisions of the FOIP Act. You may direct your questions about the collection, use, or disclosure of your personal information by contacting the City of Edmonton Archives at (▇▇▇) ▇▇▇-▇▇▇▇. Please list all the creators of the material being donated. In instances of published material, the creator could be the one responsible for collecting it. Fill out all that apply. If you require more space please include it at the end. Creator Name: Include the full name, including middle name and maiden name if possible. Creator Contact Info: If possible, provide the Creator’s contact information Creator Type: Individual | Family | Corporate Entity Circle the one which best applies. Bio/Admin History Provide as much background information as possible. For individuals and families this can include dates and places of birth/death, education, occupations, etc. For corporate entities this can include mission, mandate, business area, and dates of founding, incorporation, and dissolution. Creator Name: Include the full name, including middle name and maiden name if possible. Creator Contact Info: If possible, provide the Creator’s contact information Creator Type: Individual | Family | Corporate Entity Circle the one which best applies. Bio/Admin History Provide as much background information as possible. For individuals and families this can include dates and places of birth/death, education, occupations, etc. For corporate entities this can include mission, mandate, business area, and dates of founding, incorporation, and dissolution.
Appears in 2 contracts
Sources: Donation Agreement, Donation Agreement