Society of Rural Physicians of Canada - Société de la médecine rurale du Canada
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Society of Rural Physicians of Canada
 
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SRPCDonations

To support the SRPC you can use the form below to make donations to:

(The SRPC is a not-for-profit organization. We are applying for charitable status but currently can not issue charitable donation tax receipts.)

 

Personal Information
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Donation Category
A. 
Support the publication of the Canadian Journal of Rural Medicine, the voice of rural doctors in Canada since 1995.  
Canadian Journal of Rural Medicine: 
= $
B. 
Help keep SRPC membership free for students and support the activities of student members of the Society.  
Addopt a Student: 
= $
C. 
Help defray the costs of residents travelling to and attending the annual Rural and Remote Medicine Course.  
Subsidize a Resident: 
= $
D. 
Help the SRPC with its activities in support of Rural Medicine.  
 General Donation: 
= $
E. 
Support the work of the SRPC's International Committee  
International Projects: 
= $
F. 
Total: 
= $
Method of Payment
 Cheque
 Please make cheque payable to SRPC and mail to:
        Society of Rural Physicians of Canada 
        Membership 
        P. O. Box 893  Shawville, Québec
        Canada  J0X 2Y0
Invoice

 Please Invoice Me

Credit Card
        Card Type:
        Card Number:
        Expiry Date:
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        Authorized Amount (CDN): $
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© Copyright 2009 The Society of Rural Physicians of Canada All Rights Reserved.
P. O. Box 893 | 269 Main Street | Shawville, QC | J0X 2Y0
Toll Free: 1-877-276-1949 | Fax: (819) 647-2485