Survey - Gift in Your Will Inquiry Form - CancerCare Manitoba Foundation

	Please complete this form and click submit after entering your information.
	PERSONAL INFORMATION
*	Question - Required - First Name
*	Question - Required - Last Name
*	Question - Required - Email
*	Question - Required - Phone Number
	Question - Not Required - Complete this section with your questions or comments. (1,000 character limit)
	If you would like to connect on the phone or through email instead, please contact Monique Gauthier at 204-927-5433 or mgauthier8@cancercare.mb.ca.