Membership and renewal form
by Société Huntington du Québec
2300 Boulevard René-Lévesque Ouest, Montréal, QC, Canada
Membership cards are important for anyone wishing to get involved with the Huntington Society of Quebec. You will mainly need it when attending the Annual General Meeting.
If you obtain or renew your membership card, you've come to the right place. You just have to complete the form and proceed with the payment.
THANK YOU!
*All information on this form such as your contact information, your credit card number and information about your health will be kept strictly confidential. They will only be disclosed internally and only as required. This information shall not be divulged to any third parties without the prior approval from the interested parties.
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New member
Valid for 3 years
$10.00
Renewal
Valid for 3 years
$10.00
Add a donation for Société Huntington du Québec
$
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