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ARC Membership Registration Form

Sustaining members help ARC achieve its goals of public education and solidarity building. Members receive our newsletter, Solidarité, and the Insider. Members automatically receive a charitable tax receipt.

Price / cotisation:

Your Email address / votre adresse électronique:
Mr. / M
Ms. / MMe
First Name / prénom:
Last Name / nom de famille:
Title:
Profession:
Organization:
Address / adresse:
City / ville:
Province:
Postal code postal:
Telephone / téléphone:
Fax / télécopieur:


Method of Payment / mode de paiement:
P.O.#:
Press on "Submit" to e-mail the completed registration form or send it to:
Ed Bianchi,
Aboriginal Rights Coalition, 153 Laurier Ave. East,
Ottawa, ON, Canada K1N 6N8
Tel./ Tél.: (613) 235-9956 Fax / Télécopieur: (613) 235-1302

  

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