Application Form

Last Name*: First Name*:

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Language*: French English (Select your favorite correspondance language)

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Annual membership fees of 30.00$ (thirty dollars) are payable by cheque or credit card. Please complete the application form above and select the type of payment you wish.

Call us within business hours for credit card payment
Phone: 450-671-6147
toll free: 1-877-671-6147

Send a cheque at the following address
Regroupement des Plaisanciers du Québec
4405, Boul. Lapinière, bureau 100
Brossard, Québec
J4Z 3T5