Louis Riel Institute Donation Form


Please complete and drop off or mail to:

The Louis Riel Institute Heritage Library
103-150 Henry Avenue
Winnipeg , Manitoba R3T 0J7

If you require additional information, please phone (204) 984-9480 or fax (204) 984-9484.


Yes I would like to donate to the Louis Riel Institute Library
My Contribution Ammount:

$25
Order of the Sash
$50
Order of the Cart
$100
Order of the Buffalo
Other

Please make cheques payable to: Louis Riel Institute


Donation Information:

Your Name:
Street Address:
City:
Province:
Country:
Phone Number:
E-mail:


Please check this box if you do not wish to be recognised for your contribution:

Please check if appropriate:



Memory/Honor Information:

Name of Person:
Address: