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Become a member of COPN

Be part of a network of people dedicated to improving the quality of life for those affected by osteoporosis! We will send you the latest information on osteoporosis, new treatment options, and ways to be involved in local advocacy events, as they become available. COPN will also send an e-newsletter directly to your inbox every 2 weeks.
 
 Fields marked with * are mandatory fields.  

*  Date:


* First Name:


* Last Name:


* Street Address:


* City:


* Province:


* Postal Code:


Country:


E-mail address:


Telephone (e.g. 416-696-2663)


* Preferred Language:
 English
 French
 Other (please specify)

* Gender:
 Male
 Female

Year of Birth:


* Please select the category that best describes you:
 Diagnosed Osteoporosis/Osteopenia, Year of Diagnosis
 Caregiver
 Family Member
 Health Care Professional (please specify)
 Other (please specify)

* How did you hear about COPN?
 Family/friend
 Osteoporosis Canada/COPN Website
 Osteoporosis Canada Volunteer
 COPN Brochure
 Education Forum
 Osteoporosis Canada 1-800 Line
 Health Care Professional
 Other (please specify)

We respect your privacy and are committed to protecting your personal information. The information you provide will be used to keep you informed and up to date on the activities of COPN and Osteoporosis Canada, including current information on osteoporosis, programs, services, special events, clinical trials, opportunities to volunteer, opportunities to participate in surveys/polls and more through periodic mailings. If at any time you wish to be removed from our list simply contact us by phone at 1-800-463-6842, ext. 224 or via email at copn@osteoporosis.ca and we will gladly accommodate your request. Please indicate that you have read, understood and accepted the above by clicking submit.