Microfilm Loan Order Form

Orders for microfilm must be placed through a library, archives or other institution willing to take responsibility for microfilm reels (in the event of loss or damage). They should be used only within the institution.

The protection of privacy is important to us. When you provide the Archives of Manitoba with personal information it will be used only to reply to your query. It will not be used or dislcosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act.

If you have any questions about the collection of your personal information, contact the Head of Onsite Access by e-mail archives@gov.mb.ca, telephone 204-945-3971, or fax 204-948-2672.

* Indicates a mandatory field.

Request
Researcher Name *
Borrowing Institution *
Shipping Address *
Address (cont.)
City *
Province/State *
Postal/Zip Code *
Country
Work Phone *
Fax
E-mail *
Microfilm Reel Numbers
Ordering:	(Limit of three)