Yes! I want to DONATE to SPECIALINK

Complete and print this form. Mail it with your donation cheque or money order to the address at the bottom of the form.
Title	--- Mr. Mrs. Ms. Dr.
name*
address
address, 2nd line
city, prov	NF PE NS NB PQ ON MB SK AB BC YK NT NU
postal code
country
phone
fax
email
language	english français
amount
SpeciaLink-the National Centre for Child Care Inclusion University of Winnipeg, 2E22-515 Portage Avenue, Winnipeg, MB,  R3B 2E9