Name:________________________________________________

Street:________________________________Apt #___________

City:________________________________________________

State/Province:______________Post/ZipCode:________________

The Price per copy is

$30.00 postage paid in Canadian Funds,

$27.00 U.S. Funds,

Enclosed is my payment of $___________ CDN US (circle one)

Mail to:

The Friends of the Loyalist Collection at Brock University
P.O. Box 23041,
RPO Seaway Mall, 800 Niagara Street,
Welland Ontario Canada
L3C 7E7