connecting people who help older people
web page application

This form will let our industrious web page creator know exactly what you want on your free Members’ web page. If you want your colour logo and/or a colour photo, attach them to a separate e- mail message as .gif or .jpeg files or mail them to us on paper or via a 3.5" disk. Please fill this form out with the exact information you want to appear on your web page, especially if the information differs from that on your Membership form.

What if I want to change the information on my web page?
If your information changes in the future, just submit this form again with the new data and we’ll make the changes.

Note: submitting this form uses the e-mail program that works with your Web browser; if you use a separate e-mail program, or if this form fails for some other reason, you can use our printable membership form.

1. Organization name:

2. Full address:

3. City and postal code:

4. Telephone:

5. Fax:

6. First email address/person’s name:

7. Second email address/person’s name:

8. Third email address/person’s name:

9. Website URL:


10. What do you want to say? (Up to 150 words; point-form recommended):

11. What action do you want the reader to take after reading your page (e.g., call, e-mail, drop in):


12. List the exact URLs of any websites you want to “link” to from your page:



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site design by Jeff Kelly.
site maintained by TOMA solutions.
Comments, questions, feedback, bugs? Email Webmaster@cgcgroup.com

The Elderconnection: connecting people who help older people
A network hosted by Complete Geriatric Care
1262 Don Mills Road, Suite 66
Toronto, Ontario, Canada M3B 2W7
Tel:  (416) 444-7598      Fax:  (416) 444-5862
Email:   info@cgcgroup.com