[ ] Students - $20 CAN
[ ] GILC Members - $25 CAN
[ ] Human Rights/Non-profit organizations - $30 CAN
[ ] Govt Officials - $100 CAN
[ ] Corporate - $200 CAN
Name:
Organization:
Address:
Phone/Fax:
Electronic Mail:
Credit card Number/Expiration
Date:
Send Check or Money Order in $CAN made out to FNACQ:
Marie Valée FNACQ 1215 de la Visitation, but 103 Montréal (Québec) H2L 3B5 tel (514) 521-6820 fax (514) 521-0736 mariev@total.net.
Credit cards accepted on site
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