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Our Missions

Every year we visit Yamasà with a group of 10-20 people. Many are doctors, nurses, pharmacists, audiologists but we also need regular folks who can help us audit our programs. If you think you would like to come with us, please complete the form below. Alternatively, you can download the form and mail it.

Registration for mission to Dominican Republic

Last name (required)
Given name (required)

Address (required)
City (required)

Province (required)
Postal Code (required)

Phone (required)
Email (required)

Date of Birth(required)
Passport # (indicate if not Canadian):(required)

Travel Insurance Company and File Number: (required)
Name and contact information for friend or family: (required)

Please send your $100 non-refundable deposit cheque to: Friends For Life Intl. 162 Pembroke St. East, PO Box 56, Pembroke ON K8A 6X6

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