White Cross Canada Local Contact Form
  1. Click Here to Download a copy of this form to your computer

    If any of your contact information has changed (e.g. a new e-mail) OR If you are a new contact person, please complete the form below and click to submit the information directly to White Cross Canada at Taylor.

  2. Name *
    Please let us know your name.
  3. Email Address *
    Please let us know your email address.
  4. Address *
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  5. City *
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  6. Province *
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  7. Postal Code *
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  8. Association Name
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    (e.g. Women's Ministry)
  9. Church Name *
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  10. *
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