MEMBERS

You can become IMCHF Life Time Member 

  

Fill this online form to become IMCHF member 

  

  

First Name:  Last Name: 

  

  

Address:

  

Phone No:                Cell:

  

Email Address:              

  

Academic Qualification: 

  

Resources or Skills that you might bring to the work of IMCHF:    

  

Referred By:    

  

Membership Type: Life Time Member    500$ one time membership fee   

  

Agreement:

IMCHF is committed to help Pregnant mother, Newborn & Children.

I  fully agree with and am willing to subscribe to the objectives of IMCHF

  

I Accept       Privacy & Refund Policy

  

Please contact me by: Email Telephone 

  

Pay Life Time Membership Fee

  

  

© 2012 IMCHF

International Maternal & Child Health Foundation Canada (IMCHF)