Registration Form

This is a secure server

 YES, I wish to support Bishop's student-athletes by contributing to the Gaiter Club!
Friends Club ($100)              Varsity Club ($150)   
Starter's Club ($250)             Coach's Club ($500)  
All-Canadian Club ($1000)     other $

  My gift to be used for:
    Athletic Awards/Bursaries OR    
    Athletic Department Priorities OR


Home phone: 

Work phone: 

 Payment may be made by:

Visa         MasterCard        American Express

 Card No.   Exp. Date: 

  Cheque made out to
       The Gaiter Club Bishop's University Foundation    returned to:
       Alumni & Development Office,
       Bishop's University,
       Lennoxville QC JIM 1Z7



Charitable business no. 11881 0787RR0001