Donate $12 = A consultation on our online chat

Donate $36 = A consultation with health professionals

Donate $150 = An information and support webinar

Donate $198 = A PROCURE conference

Donate $360 = 1 patient follow-up from our biobank

Register for the PROCURE EN PARLE - Free

Donation (optional)

$12

$36

$150

$198

Items

Description

Price

Quantity

Total

Total (including your donation)

Contact information

Donor type

Individual

Enterprise

Title

First name

Last name

Phone number

Age (facultatif)

Address

Civic number

Street

Apt. or office

City

Province/State/Region

Postal code

Additional information

How did you hear about our webinars?

Souhaitez-vous recevoir de l'information pour les prochains PROCURE EN PARLE ?

By clicking on "Submit", you agree our terms of service and our privacy policy.

Donate $12 = A consultation on our online chat

Donate $36 = A consultation with health professionals

Donate $150 = An information and support webinar

Donate $198 = A PROCURE conference

Donate $360 = 1 patient follow-up from our biobank