Name (credentials – optional)
Title
Department
Email
Preferred Pronouns (optional)
Je parle français (optional)
Address
Room # / Building
City / Province
Postal Code
Telephone: (807) xxx-xxxx ext. xxxx
Cell: (807) xxx-xxxx
Fax: (807) xxx-xxxx
This email and attached material is intended for the use of the individual or institution to which it is addressed and may not be distributed, copied or disclosed to other unauthorized persons. This material may contain confidential or personal information that may be subject to the provisions of the Freedom of Information and Protection of Privacy Act or the Personal Health Information Protection Act. If you receive this transmission in error, please notify me immediately at the telephone number listed above, and do not print, copy, distribute or disclose it further. Thank you for your co-operation and assistance.