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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If "Other" please specify:
Donation Category
  Support the publication of the Canadian Journal of Rural Medicine, the voice of rural doctors in Canada since 1995.  
 A. 
Canadian Journal of Rural Medicine 
= $
  Help keep SRPC membership free for students and support the activities of student members of the Society.  
B. 
Addopt a Student 
= $
  Help defray the costs of residents travelling to and attending the annual Rural and Remote Medicine Course.  
C. 
Subsidize a Resident 
= $
  Help the SRPC with its activities in support of Rural Medicine.  
D. 
General Donation 
= $
  Support the work of the SRPC's International Committee  
E. 
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: 
        Name on Card: 
        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