Please fill out the information below to become a voting member of Amnesty International Canada * indicates an obligatory field. Please feel free to contact us should you need further assistance in filling up the form.

YES I wish to be identified as an Amnesty International Canada Member.

* indicates a required field

Email *

First Name *

Last Name *

Preferred Phone *

Street *

City *

Province *

Postal Code *

YES I understand that my name and contact information may be shared with other members for governance-related purposes (this is required by the Canada Not-for-profit Corporations Act)

Member Communications
Please select your preferred method for AGM notices and electronic ballots on an annual basis.

Type the code from the image

Confirm delete
Are you sure you want to delete this record?