If you would like to become a
member of the Kingston Health Coalition, please fill out the form below.
Your name and telephone number are required so that we can contact you if
needed, and please check the appropriate box or boxes regarding how you
would like to get involved (member, donate, volunteer). Please leave any
additional comments you would like to make in the comments box, and
remember to click SUBMIT when you're done. Your response will be emailed
directly to one of the Chairs. Thank you for your support!
Become a Member / Donate / Volunteer:
like to become a member of the Kingston Health Coalition
would like to be contacted by one of the Chairs in regards to making a
donation to the Coalition
would like to be contacted by one of the Chairs in regards to volunteering
for the Coalition
I would prefer to be contacted by: