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This is Your Network - Join Us!

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Please print this form and send it along with your payment to:

The Canadian Women's Health Network
Suite 203, 419 Graham Avenue
Winnipeg, Manitoba
Canada R3C 0M3

I am applying/subscribing

  •  as an individual
  •  on behalf of my organization
  • Individuals: CWHN does not share its mailing lists. However, at times, like-minded organizations (those working for better women's health) ask us for a list of names and addresses (e-mail or postal) in order to let you know about information or an event that might be of interest to you.

    I prefer you not share my information.

Name:
Organization:
(if applicable)
Address:
City/Town:
Province/Territory:
Postal Code:
 Telephone:
Fax:
E-mail:
Web site:

MEMBERSHIP

I/We would like to join the Canadian Women's Health Network.
I/We share your vision of advancing the health of all girls and women in Canada based on principles of equity, inclusion, and social justice.

The CWHN is guided by a Board of Directors made up of women from across the country with varied backgrounds and skills. Our national Expert Review and Advisory Committee ensures that our activities and information are pertinent and precise and that our network is diverse and ever expanding.

Members of the CWHN contribute to the development of the network and may sit on advisory committees, or the Board of Directors.

FEES (Please select from the list below):

All women regardless of their income are welcome to join the CWHN.
Feel free to ask about low-income rates.

MAKE A DONATION

 I/We want to support the work of the CWHN with a donation of

  • $ 25
  • $ 50
  • $100
  • $

SUBSCRIPTIONS

 I/We want to subscribe to Network magazine.
(Double issues of Network are published twice a year.)

  •  $15 (individuals)
  •  $35 (organizations)
I want to subscribe to Brigit's Notes (free)
I want to subscribe to CDN-WOMEN (free)

PAYMENT

Make cheques or money orders payable to the Canadian Women's Health Network.
US residents: Please pay in US funds.
International residents: Please add $25 US for postage.

 Enclosed
 Invoice required
Visa or Mastercard #:
 
 Expiry:
 
 Signature:
 Please send a receipt.

CONNECT WITH THE NETWORK

To enhance information access on women's health issues and research, and assist in networking and coalition building nationally and internationally, we encourage you to

  • link to our web site from the CWHN web site
  • feel free to refer women requesting information on our program areas to us

Remember to add the Canadian Women's Health Network to your mailing list!