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Printable Volunteer Form

Please complete the form below & return to our office (611 Wellington Crescent Winnipeg, Manitoba R3M 0A7). Please print clearly! Thank you ... we look forward
to meeting you soon.

NAME: ______________________________________________________________

ADDRESS:___________________________________________________

CITY:______________________________ POSTAL CODE:_______________

PHONE: HOME____________________ WORK______________

FAX:________________ E-MAIL ADDRESS___________________________

ADDRESS_________________________________________________________

EMPLOYER

VOLUNTEER EXPERIENCE:___________________________________________

___________________________________________________________________

___________________________________________________________________

_______________________________

HAVE YOU VOLUNTEERED FOR VARIETY IN THE PAST? IF SO, IN WHAT
CAPACITY?_________________________________________________________

I would like to volunteer for:

___Gold Heart Week (mall sales) ___ Specific Function or Event

___Golf Tournament ___ Other (please explain

on back of form)

___Special Events (e.g. Pianothon) ___ Prize Solicitation

Availability:

Preferred day(s)_______________ Preferred time_____________________

Notice required________________ Best time to call________________

#2 - 1313 Border Street | Winnipeg, Manitoba R3H 0X4 | Phone 204.982.1058 | Fax 204.475.3198
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