International on-line membership form — Canadian HIV/AIDS Legal Network

International on-line membership form

International on-line membership application

Note: We cannot process on-line applications unless fields marked with ( * ) are completed.

  •   New member
      Membership renewal

  •   Mr.
      Ms.
      Mrs.
      Other

  •   English
      French
      Bilingual (for institutional members only)
  •   Printed copies by mail
      By e-mail

  •   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)

  •   Regular: $100 USD
  •   $100 USD (budget of less then $100000)
      $200 USD (budget of $100000 to $300000)
      $300 USD (budget of $300000 to $750000)
      $400 USD (budget of $750000 or more)

  •   $40 USD
      $80 USD
      $120 USD
      $200 USD
      Other $ USD
  • All eligible contributions will receive a tax receipt. Charitable Registration #141110155 RR0001.