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With your application, you agree to abide by our code of ethics and meet the minimum standards of professional education.

Documentation will be requested in order to complete membership.

Current members IF RENEWING BY CHECK DO NOT REFILL APPLICATION FORM. Just mail your check to address on website.

ACTIVE DOULA MEMBERSHIP APPLICATION

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or
Please send your check to:
Association québécoise des
accompagnantes à la naissance (AQAN)
1040 rue Crawford
Unit 2
Verdun, Québec
H4H 2N2
Thank you for joining
AQAN-QAD.
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The information collected by this form will be kept strictly confidential and used only for administration and communication purposes.

APPLICATION FOR ACTIVE MEMBERSHIP – 1 YEAR

CHOOSE YOUR FORM OF PAYMENT TO CONTINUE

APPLICABLE FEES APPLY WITH PAYPAL
On what date did you complete your basic training?
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