Donation Mail In Form

DONATION MAIL IN FORM

Print Form

Select the print form button above and return along with your cheque to the:

St-Pierre-Jolys Hospital Foundation
354 Préfontaine Avenue, P.O. Box 320
St-Pierre-Jolys (Manitoba) R0A 1V0

N.B. – Your tax receipt will be emailed to the address provided or mailed, if no email address is provided, after confirmation and receipt of payment.

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