Kit for Memramcook students - Village de Memramcook

Name *

Phone Number *

Memramcook Address *

Temporary Address

High school graduation year *

Study program and post-secondary institution *

License or photo identification (proof that you are a Memramcook resident)

Drag and drop files here or Browse Max file size: 1024MB

Proof of registration at a post-secondary institution

Drag and drop files here or Browse Max file size: 1024MB

Do you have any allergies, if so please state them *

Would you like to receive the Village de Memramcook newsletter?

Yes

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