Membership form

Reference period: June 1st 2018 to May 31st, 2019

To confirm your membership, please send a check made to the order of the MALL at the following address: MALL, 800 Square Victoria, C.P. 482, Montréal (Québec) H4Z 1J7.

Name*
First Last
Company or organization
Address
Street Address City Province Postal Code
Phone
Extension
Fax
Email address*
Send me a copy of form
- Yes
Contribution*
- Active member (50,00$ per year)
- Associated member (125,00$ per year)
- Student member (20,00$ per year)
** Read By-Law
Listserv
- I want my name on the MALL's listserv.