Client form - Centre-Ville (old)

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1. Promoter

Title*

Name*

First Name

Last Name

Date of birth*

Were you born outside of Canada?*

Yes No

Your status in Quebec?*

Permanent resident Canadian citizen Other

Address*

Address Line 1

Address Line 2

City

Province

Postal Code

Country

Phone*

Email*

Select the choice that best reflects your current situation, among the following:*

You would like to receive*

Information Advice Financing Workshops Help with hiring staff or HR advice Other

Please further specify your needs*

With which member of our team are you already in contact?

Select a date if you wish to participate in our free online workshop "Business project" (in French only) :

Select a date if you wish to participate in our free online workshop "Social Economy for non-profits and cooperatives" (in French only) :

I agree to receive the newsletter from the PME MTL and PME MTL Centre-Ville

I agree