Become a member of REVIVRE

Family : $50. Any family sharing the values and objectives of the Association and complying with its rules and policies. The term “family” refers to four persons of the same family living at the same address.

Associate : $100. Any private or legal person sharing the values and objectives of the Association and complying with its rules and policies.

If this is a renewal,
please enter your member number :

Name :
Address :
City :
Province :
Postal Code :
Phone (home) :	-   -
Phone (work) :	-   -   Ext:
Cell Phone :	-   -
EmailAddress :
Type of payment :	Check Visa MasterCard
Enter the 5 digits in the order
Note: The membership card is valid upon registration for one year.