Information Request


Name:

E mail Address:

Mailing Address:

City/Town:

Province:

Postal Code:

Request/Question:


* Collection of the personal information on this form is authorized under Section 6 of the Alberta Historical Resources Act and is required for the purpose of requesting information from the Reynolds-Alberta Museum.  The information will be used to maintain a contact list of participants and is subject to the disclosure rules set forth in the Freedom of Information and Protection of Privacy Act.  For further information about the collection and use of this personal information, please contact Sean Moir, Curator of Documentary Collections; (780) 361-1351, Ext.254/255.