Inscription

Vous voulez faire valoir votre point de vue sur nos décisions et actions futures? Vous voulez exercer votre droit de vote pendant notre assemblée générale annuelle?
Remplissez le formulaire d’inscription qui suit!

Name*
Prénom Nom
Email*
Phone
Postal Code*
Which of the following issues are particularly of interest to you?
- Vaccines and immunization
- Tuberculosis
- Nutrition
- Education
- Water and Sanitation
I would like to become an official member of RESULTS Canada (with voting rights in the AGM).*
- TRUE / VRAI
- FALSE / FAUX
If you responded true to becoming an official member, please describe the objectives of RESULTS Canada as you understand them.*
Comments
Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.

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