| "YOUR MOMENT IN TIME" | |
| Thank you for supporting the Pinawa Heritage Sundial by purchasing your Moment in Time. For participating, your name will also be entered in the Guest Book of the time capsule. | |
| Name:___________________________________________________________________________________ | |
| Address:________________________________________________________________________ | |
| _________________________________________________________________________________________ | |
| Tel.No.:_________________________________________________________________________ | |
Please
follow the following rules when filling out the form.
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| The following is an example of a completed Moment in Time. | |
| :00 Norman~Norma~Noah Gnomon | |
| Please complete the following form for the number of minutes you wish to purchase. | |
| :01 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ | |
| :02 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ | |
| :03 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ | |
| :04 __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ | |
| For each "Moment in Time" a contribution of $20.00 is requested. | |
| ________ "Moment in Time" x $20.00 = $ __________ | |
| Please make all cheques payable to the "Special Projects Group" and also note on the cheque that it is for the "Pinawa Heritage Sundial". | |
| Please mail to: | Carl
Sabanski Box 460 Pinawa, Manitoba Canada R0E 1L0 |