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APEA and Payroll Deduction Form

Personal Information
Donation Details
Gift Designation
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Gift Recognition


By submitting this form you have given authorization to the University of Regina to alter the terms of this agreement to ensure relevancy against current priorities in student recruitment and retention, or in the event that it becomes no longer practical or possible to use this gift for the originally specified purpose (for example, if a program to which it relates is restructured or discontinued). Should this become necessary, the University will ensure that the Donor’s intent is honored by adhering as closely as possible to this agreement.

We care about your privacy

The University of Regina respects your privacy. We protect your personal information and adhere to all legislative requirements. We do not sell, rent or exchange our donor information with anyone. The information you provide will be used to keep you informed about our services, special events, fundraising programs, benefit discounts and other activities through periodic contact. If you do not wish your name to be used, please contact us and we will gladly accommodate your request. Thank you for your continued support. Charitable Registration #10816 2124 RR0001.

Contact Us

Barb Kuzyk
Phone: 306-585-5310

University Advancement & Communications
210 Paskwāw Tower
University of Regina
3737 Wascana Parkway
Regina, SK S4S 0A2

Supporters like you help to make a difference every day.