Friends of the Loyalist Collection at Brock University

I would like to make a Gift or Memorial Donation to
The Friends of the Loyalist Collection at Brock University.
My Name:_____________________________
Street and Number:_Apt No._
City:_________________Province /State
Country:_Postal/Zip Code:
Amount of the Donation:$CDN or US (Please circle one)
Type of Gift (Circle one) Birthday, Christmas,
Name of Person for memoriam:_
Name to Receive Card:
Street and Number:_Apt No._
City:____Province /State
Country:Postal/Zip Code:_
Enclose your cheque or money order and Mail to:
The Friends of the Loyalist Collection at Brock University,
P.O. Box 23041, RPO Seaway Mall,
800 Niagara St.,
Welland, ON. Canada.
L3C 7E7