In Memory

Recognition of Your Gift
Credit Card Information
Required for credit card payments
Your credit card number.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

The personal information provided on this form is collected pursuant to section 3 of the Lakehead University Act. Lakehead University respects the privacy of our donors and will use this personal information only to provide tax receipts, to contact you regarding your gift, and to keep you informed of other University and Alumni Association events and advancement activities. Any questions about the collection, use, and disclosure of this information should be directed to the Alumni and Community Relations Director, Lakehead University, 955 Oliver Road, Thunder Bay, Ontario P7B 5E1, telephone: 807-343-8300. You may ask at any time that we no longer use or disclose your personal information for a fundraising purpose.

Lakehead University is a registered charity in Canada. Charitable Registration Number #11900 2681 RR0001