PERSONAL INFORMATION







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Select I want to know about local activities and education events.
I want to volunteer and/or help.
I want to make a donation to help our Society.
Mail me my donation tax receipt.
Enclosed is my donation of $ ________________
     Make check payable to "Canadian PBC Society"
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Registered Charity #88162 3904 RR 0001 ®2004 (MF003 Last modified October 6, 2008)