On-line membership application (International) - How To Get Involved - About Us - Canadian HIV/AIDS Legal Network Membership Application - How To Get Involved - About Us


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International on-line membership application Note: We cannot process on-line applications unless fields marked with ( ) are completed.* Please indicate: New member Membership renewal Member information* Title* Mr. Ms. Mrs. Other Other title First Name* Last Name* Professional Title Organization Address* City* Province/Territory/State Country* Postal Code/Zip Code* Telephone* Fax E-mail* Mailing preferences Please indicate preferred language of correspondence: English French Bilingual (for institutional members only) Please indicate the format in which you wish to receive our mailings: Printed copies by mail By e-mail Membership categories Regular (regular members support the goals of the organization and have the right to nominate members for Board election, stand for office, and vote) Associate (associate members support the goals of the organization but do not nominate members for Board election, stand for office, or vote) Membership fees* Individual Regular: $100 USD Institutional $100 USD (budget of less than $100,000) $200 USD (budget of $100,000 to $300,000) $300 USD (budget of $300,000 to $750,000) $400 USD (budget of $750,000 or more) Additional donation $40 USD $80 USD $120 USD $200 USD Other Other amount$ USD Please check here if you do NOT wish to be listed as a donor in our annual report. All eligible contributions will receive a tax receipt. Charitable Registration #141110155 RR0001. Find us on: Share this page Board of Directors Staff Members Mission, Vision and Values Issues Annual Reports Awards for Action on HIV/AIDS and Human Rights Become a member Make a donation Join the Lawyers’ Referral Database Events Join our e-mailing list Careers Volunteer Become a member Make a donation Join the Lawyers’ Referral Database Events Join our e-mailing list Careers Volunteer
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International on-line membership application