St. LAwrence Institute Donation Form

	St. Lawrence Institute for the Advancement of Learning

P.O. Box 307
N.D.G. Station
Montreal, Quebec H4A 3P6
Canada

Yes, I wish to become a friend of The St.Lawrence Institute

Registration

MsMr MissMrs

Your Name Street Address

City Province Postal Code Phone(+ area code) FAX Email Address

Method of Payment Cheque CHEQUE I will send in my cheque for $ (including GST) made payable to St. Lawrence Institute, Please submit your form to:
The St. Lawrence Institute
P.O.Box 307, N.D.G. Station
Montreal, Quebec
H4A 3P6