CAP -- Registration form

Registration form

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