Membership

Welcome to the membership page of the Physicians' Alliance Against Euthanasia. Membership fees are optional. We thank you for supporting our efforts financially: we want to be your voice while supporting you at this critical time in our profession. Membership fees entitle you to a receipt for professional expenses.

Membership

Membership *

Practising physician - $ 100.00

Resident or retired physician - $ 25.00

Please renew my membership automatically.

Additional Contribution *

$ 100 - $ 100.00

$ 200 - $ 200.00

$ 300 - $ 300.00

$ 400 - $ 400.00

$ 500 - $ 500.00

No thank you

Total Amount

Email Address *

Please indicate your address and telephone number.

Your information

Téléphone number

Mailing address

Postal code

Ville

City

Your fees enable the Physicians’ Alliance against Euthanasia to continue its work to ensure that euthanasia and assisted suicide are never accepted as “health care” in Quebec or Canada.

You may make your payment by Paypal, by mail, or by monthly payments.

Paypal

By mail

Click here to download the membership form >>

Make your cheque to Physicians’ Alliance against Euthanasia

Send the form and the cheque to:

Physicians’ Alliance against Euthanasia
61, avenue de Vimy
Montréal QC H3S 2P9

Membership

Membership

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