Donation Request Form Freedom of Information Collection Notice Personal information on this form is collected under the authority of the Freedom of Information & Protection of Privacy Act (the Act) for administrative purposes of the District of Sicamous. Personal information is protected from unauthorized use and disclosure under the Act and may only be used and disclosed as provided by the Act. Questions about the collection of personal information can be directed to the chief administrative officer or freedom of information coordinator, District of Sicamous, PO Box 219, 446 Main Street, Sicamous, BC V0E 2V0, corporate@sicamous.ca, 250-836-2477. Information about the district's privacy management policy can be found here. Cost Plaque Actual cost plus 10 per cent Composite Bench Actual cost plus 10 per cent Metal-Framed Table Actual cost plus 10 per cent Concrete Picnic Table Actual cost plus 10 per cent Tree, Shrub or Bush Actual cost plus $500 maintenance fee Garden Actual cost plus $100 maintenance fee Irrigation Actual cost plus 10 per cent Renewal of Donation Maintenance Period 50 per cent of Initial Donation Fee For a more detailed cost breakdown of donations, please click here. What type of donation would you like to make? * Plaque Concrete Picnic Table (small) Concrete Picnic Table (large) Composite Bench Tree, Shrub or Bush Garden Renewal of Donation Maintenance Period Cash Other (in kind or gift) If other, please clarify. Details of Request Name of Donor * Phone * Email * Mailing Address of Donor * Plaque Inscription (3" x 8") If applicable. Location * *Please contact the District Office to discuss the potential location. Leave Blank This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
