ANHN Membership Form
Being a network of Indigenous people, organizations and agencies, we respectfully strive to provide support and services to our First Nations, Métis and Inuit families and communities who are experiencing HIV, AIDS, HCV, STIs, and blood borne pathogens.

All information provided is kept private and confidential. ANHN membership lists are not traded, rented or sold to any other organization.

First Name
Your answer
Last Name
Your answer
Organization (if applicable)
Your answer
Email address (will be added to newsletter mailing list)
Your answer
Address
Your answer
City
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Province
Postal Code
Your answer
Phone Number
Your answer
Associate membership (non-voting) - Your membership will entitle you to special discounts at annual conferences and events throughout the year and a subscription to the Positive Journeys Newsletter.
If you are applying as youth, please provide your birth date
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Payment Options
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