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ALS Society of Quebec ALS Society of Quebec
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  • ALS Quebec Registration

    Home ALS Quebec Registration

    Registration Form

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    Registration Form

    Registering with ALS Quebec provides you with full access to the range of programs and services we offer to people living with ALS or PLS, anyone in their support system, and healthcare providers.

    Completing this form will take you approximately 5 minutes. After submitting the completed form, you will hear directly from one of our team members within a few business days. If you haven’t heard from us within a week, please contact us directly by email: info@sla-quebec.ca

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    Please indicate how you would like to connect with us. Select all that apply.

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    Privacy Statement

    By submitting this form, I agree that ALS Quebec can contact me and send regular e-mails providing information about programs, services and other initiatives. Our communications will be explained during the first phone call. If you decide you don’t want to receive emails from us anymore, unsubscribing is easy – just click the link at the bottom of each email and follow the instructions provided. We respect your privacy and are committed to protecting your personal information and adhering to legislative requirements regarding privacy. We do not rent, sell or trade our mailing lists.

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    ALS Society of Quebec
    Contact us

    ALS Society of Quebec
    5415 Pare, Suite 200
    Mount-Royal, QC H4P 1P7

    Phone - 514 725-2653
    Toll free in Quebec - 1-877-725-7725
    Email - info@sla-quebec.ca

    NEVER MISS AN UPDATE!

    Learn about upcoming webinars, events, support groups and more by signing up for our e-newsletter.


    © 2023 ALS Society of Quebec – All Rights Reserved. Une conception par Atypic.
    Charitable registration no. 119153187 RR0001

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