Membership Form - Individual Member

 

Membership Term

Memberships are valid as long as the member meets the current membership criteria.

 

 
 
 
 
 

 

Réseau's Activities

 
 
 
 
 
 

 

Personal Information

For statistical purposes only

 
 

 

Consent

To become an individual member of the Réseau, you must:


♦ Be at least 18 years old;


♦ Be Francophone or Francophile;


♦ Reside or work in Northern Ontario;


♦ Have at interest French language health services.

 
 
 

If you wish to receive a copy of your form by e-mail, don't forget to check your junk mail.