Membership Ccmp 2019
Email address *
Nom, Prénom / Family Name, First Name *
Your answer
Adresse (numéro civique, rue, appartement, code postal) / Address (civic number, street, appartment, postal code) *
Your answer
Téléphone (svp précisez si cellulaire, résidentiel ou bureau) / Telephone (please specify if cellphone, home or office)
Your answer
J'acquitterai ma cotisation de membre de 10$ *
Enjeu qui vous tient le plus à cœur dans le quartier / Issue that you feel the most strongly about in the neighborhood *
Your answer
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