QuIVAA Membership Form

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QuIVAA Membership Form

Membership for people who identify as someone who uses/used drugs

* Indicates required question

Name *

Your answer

Email *

Your answer

Why would you like to be a member? *

Your answer

Would you like to sign up to receive updates from QuIVAA?

Your answer

Would you like to be actively involved? *

Attend membership meetings

Assist with fundraisers or campaigns

Legal aid/advice

Grant writing

Policy writing

Other skill to contribute?

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