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Printable version

  Registration

How can you help CAP?
Join CAP! Joining CAP is a wonderful way to get in touch with true basics and be able to make a difference all together...

 

Name:________________________________________________
Address:______________________________________________
City:_____________________________Postal Code:___________
Telephone:(home)__________________(work)________________
Fax:__________________________________________________
E-mail:________________________________________________
Profession / occupation:___________________________________

 

Signature:_____________________________________________

 

Subscription for one member : 10$                          
Subscription for a group or an organisation : 25$

 

   I allow my name and address to be known by other members of CAP
   I do not want my name and address to be known by other members of CAP

 




Return the registration form to:

CAP
C.P. 434
Saint-Bruno-de-Montarville
(Québec) J3V 5G8

 

  Telephone: 450.441.3899 
Fax: 450.441.2138


© 2000 Coalition for Alternatives to Pesticides
Webmaster: Shawn Buzzell