Ontario IMCA Membership Form
NIMCA membership is based upon local provincial and regional organizations affiliating to the national organization. If you live in Ontario, fill out this form to become a member in the Ontario Indigenous Medical Cannabis Association, which is affiliated to the national organization. Note, you must also pay the $25 yearly membership fee to have your membership confirmed.
Name *
Your answer
Residential Address *
Your answer
Phone Number *
Your answer
Email
Your answer
Indigenous community / nation you belong to *
Your answer
What aboriginal status do you have? *
Interests and capacities
Your answer
Please make any further comments you would like.
Your answer
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