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CCRS Of Manitoba - MAILING LIST SUBSCRIPTION
By completing the form you authorize CCRS of Manitoba to contact you regarding events, products and services on a go forward basis.
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First Name
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Your answer
Last Name
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Your answer
Mailing/Postal Address -
PLEASE INCLUDE:
House Number, Street Name, Direction, City, Province and Postal Code
(i.e. 230 Golden Eagle Drive, Winnipeg, MB, R2K 4M4)
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Your answer
Telephone Number - Please provide area and number (i.e. 204-895-7544)
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Your answer
Is the telephone number you provided a cell phone?
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YES
NO
Email address (Please check spelling carefully)
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Your answer
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