Wishlist Form

 

Does your agency need anything?  Fill out this form and we will add your wish list to the site.  Note: fields in blue are required.

Agency Name: Contact Name:

Agency Address:

 Contact Phone:
Contact E-Mail:
 

What items does your agency require?

 

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This page is maintained by Lisa Shaw-Verhoek. 
Copyright  1999 Algonquin College.  All rights reserved.
Revised: June 16, 2003		 link to united way Ottawa-Carleton
This site is dedicated to the
memory of Social Service Worker
Professor Syd Ford.		 Professor Syd Ford