Personal information on this form is collected under the Ontario Heritage Act, R.S.O. 1990, c. 18 and will be used for Ontario Heritage Trust marketing and fundraising purposes. This information will not be shared with other organizations. For further information, please contact the Executive Coordinator, Ontario Heritage Trust, 10 Adelaide Street East, Toronto, Ontario M5C 1J3, 416-314-4903. (Forms will be sent to: fulford@heritagetrust.on.ca.)