Membership

Join CCHE!

 

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 organization : 25$
Number of members in the group _____________
   Please do not share my name with other mailing lists

 
You are invited to become a member of CCHE if you believe in our mission and goal.
CCHE reserves the right to restrict or refuse membership.

 
Please send filled out form by snail mail to:

The Canadian Coalition for Health and Environment
c/o Glenda Whiteman
31 Alloway Avenue
Winnipeg, Manitoba  R3G 0Z7

Phone: (204) 229-9613

 

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