Name:    _______________________________________________


Address: _______________________________________________


City:    __________________________  Province: _________


Postal Code: ______________________


Re:  	Cultural & Educational   $ _____________

	Visnyk / Newsletter      $ _____________

	Ukrainian Arts Program   $ _____________

	Nation Builders          $ _____________

	Send to:

		Ukrainian Canadian Congress
		Saskatchewan Provincial Council
		1219 8th Street East
		Saskatoon, Saskatchewan, CANADA
		S7H 0S5