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)
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