Movement for Maternal Autonomy and for Natural
Childbirth
Affiliated member of
Regroupement
Naissance-Renaissance
Groupe MAMAN
4985, Dornal
Montréal (Québec)
H3W 1W1
Tel & Fax :
(514) 738-4145
Membership Form
Yes, I would like to become a member of the Groupe MAMAN and
so help contribute to the recognition and promotion of the autonomy
of childbearing women. I will also receive the MAMANzine (Groupe
MAMAN's newsletter). Note : All we do is voluntarily done,
so we cannot guarantee a regular publication of the MAMANzine.
As well, I would like to give some
time to the activities of the Groupe MAMAN (newsletter, meetings, internet
site, testimonies, fundraising, mailings...).
Name:
Address:
Postal code:
Telephone:
E-mail:
I enclose my contribution
($9.00 minimum): $
(Please print and return form with payment to Groupe MAMAN)