Please print up, fill in, and mail this form to the address below

Ontario Health Coalition Volunteer Form

Name:

Mailing Address:

City/Town:                                                      Postal Code:

Phone:                                                           Fax:

Email:

Preferred method of contact:

Preferred issue and type of work:


Ontario Health Coalition
15 Gervais Drive, Suite 305,
Toronto, Ontario
M3C 1Y8

Fax: 416-441-407
Phone: 416-441-2502
Email: ohc@sympatico.ca