Form Who is sending us the story? Only the plaque donor(s) can send a story to display with the plaque. If you're not the donor, we will require written permission for your story to be reviewed. Rank and name on commemorative plaque displayed on the Wall of Service Are you the person whose name is on the plaque? Yes No If no, what is your relationship to the person? -Select-SpouseChildParentSiblingGrandparentUncleAuntOther relativeFriend Are you the donor of the plaque? Yes No You must have written permission from the donor(s) of the plaque to share this story. If you have questions about this process, please contact Maria Almeida First and last name (if different than name on plaque) Address Address City/Town Province/State Postal Code/ZIP Country Email Home phone number Cell phone number Share your story Share your story You may enter your story directly into the form, or upload it as a file. Files must be in one of the following formats: .doc, .docx, .rtf, .txt, .pdf Story Upload story file Upload One file only.256 MB limit.Allowed types: doc, docx, rtf, txt, pdf. Are you submitting photos? Yes No You can add a maximum of 12 photos. They must be in one of the following formats: .jpeg, .png, .tif, .gif Do you want to upload photos individually, or in a .zip file? Individually In a .zip file Upload .zip file Upload One file only.256 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Please caption all of the photos in the .zip file Upload your first photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the first photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a second photo? Yes No Upload your second photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the second photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a third photo? Yes No Upload your third photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the third photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a fourth photo? Yes No Upload your fourth photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the fourth photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a fifth photo? Yes No Upload your fifth photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the fifth photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a sixth photo? Yes No Upload your sixth photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the sixth photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a seventh photo? Yes No Upload your seventh photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the seventh photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add an eighth photo? Yes No Upload your eighth photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the eighth photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a ninth photo? Yes No Upload your ninth photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the ninth photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a tenth photo? Yes No Upload your tenth photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the tenth photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add an eleventh photo? Yes No Upload your eleventh photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the eleventh photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Do you want to add a twelfth photo? Yes No Upload your twelfth photo Upload One file only.256 MB limit.Allowed types: jpeg, png, tif, gif. Please caption the twelfth photo <small class="description text-muted">Identify people and places, and describe events or other background information when possible </small> Personal information provided on this form is released for the sole use of the Canadian Museum of Immigration at Pier 21. Stories shared above may be added to the Canadian Museum of Immigration at Pier 21 Story Collection and shared in-house, on-line and electronically. Filling out this form gives the Museum permission to share your story but not your address. Please let us know if you have any questions. The Museum may redact any personally identifying information before publishing online. If you need assistance submitting your story or photos, please contact Maria Almeida Submit your story Leave this field blank