Language English Are you renewing your membership? yes no not sure Title - None -noneMr.Ms.Mrs.Mr. & Mrs.Dr.Hon.SisterRev. First Name * Last Name Email * Telephone Address City/Town Province * Postal code Country Position If you are involved with a group or project that is using the Healthy Communities model, please provide the name and a brief description below. The Healthy Communities model involves different organizations from different sectors collaborating on efforts to improve the social, economic, and environmental well-being of their community. Do you agree to have your name published on our website and in our annual report? Yes, you may publish my name No, I prefer to remain anonymous Check below to affirm your support for Healthy Communities principles and the mission of OHCC. Payment optionsAfter clicking "Submit" you will be prompted for payment information. You have three options: online (CanadaHelps), cheque, or electronic transfer. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.