If you share our conviction that education and freedom of choice are core aspects of any prevention program
then please join us! Use this form to apply for or renew your membership.

GRIP Montreal depends on passion and support of it's volunteers and members, who play a critical role in the realisation of our goals and programs. Without the active involvement of our dedicated supporters, we simply could not continue to educate and protect young people from the dangers associated with reckless drug-use.


Please note that by submitting this application you agree to pay the annual membership fee and to abide by the GRIP Montreal corporate rules, available (in French only) here.



Membership        


Membership Type New Membership Renewal
Regular     $20.00     $15.00
Student / Unemployed / Low-income     $10.00     $8.00





Donation
Make a donation with your membership.
Please note that tax receipts are offered for donations of $20.00 or more.
  None   $20.00   $30.00   $40.00   Other:






Billing preference
  Electronic Billing (Email / Paypal)   Postal Invoice





Contact Information

Name* :
Address* (Street) :
Address* (Town) :
Postcode :
Province :
Email* :
Telephone* :
Comments / Questions :
* Denotes required information.