AGA 2019 / 2019 AGM
Formulaire d'inscription à l'assemblée générale annuelle / Annual general meeting registration form
Prénom / First Name *
Your answer
Nom / Last Name *
Your answer
Date de naissance / Birth date *
MM
/
DD
/
YYYY
Courriel / Email *
Your answer
Téléphone / Phone *
Your answer
Type de membre / Type of member *
Code postal / Postal code *
Your answer
Activités auxquelles vous avez participé / Activities you participated in *
Your answer
Organisme communautaire de la Petite-Bourgogne que vous représentez. / Little Burgundy community group which you represent.
Your answer
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