Individual membership

First name *

Last name *

Email address *

Phone number *

Street address *

Fields of interest *
BooksPerformancePerforming artsMusicVisual artsMovies & televisionMultidisciplinary organizationsGovernementNGO

Other fields of interest

I wish to remain anonymous

My name should be published as follows

Amount of the annual contribution (minimum 20 CAD): Paypal/Credit card)

[paypalsubmit class:btn class:btn-primary email:coalition@cdc-ccd.org currency:CAD itemamount:cotisation itemname:titre return_url:https://ficdc.org cancel_url:https://ficdc.org "Send"]