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NIKLA-ANCLA
National Indigenous Knowledge & Language Alliance / Alliance nationale des connaissances et des langues autochtones

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Organization & Institutional Registration

To renew or register for a new membership, please fill out the information below.

You will shortly receive a receipt after completing this form. If you require an invoice, please email us at info@nikla-ancla.com.

Which Membership are you registering for?

Organizational Membership - C$150

Institutional Membership - C$500

Name of Organization

Organizational Mailing Address

Lead Contact

Company Position

First Name

Last Name

Email

Salutations (if any):

Is this Organization/Institutional Membership for an Indigenous body? If so, who do you represent?

Which Primary Community are you registering for?

I agree to receive Member messages, including email and blog notices.

NIKLA-ANCLA

info@nikla-ancla.com

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