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Registration
Here's the registration form. The information in bold has to be filled out. You can select from the pre-filled departure and arrival lists. If you don't want to register a return trip, please uncheck the box.
Registration date
Apr 4 2020
First and last name
Email
Phone number day/work
Phone number evening/weekend
Keep my information confidential?
Yes
No
Language
Français
English
Password
(of your choice)
Trip to destination as a
driver
passenger
Departure
Arrival
Street name
Street number
or
intersection
Postal code
Region
Island of Montreal
South shore and west shore
Laval and north shore
Quebec city
Gatineau
Laurentides
Lanaudiere
Estrie (Eastern townships)
Beauce
Gaspesie
Abitibi-Temiscamingue
Cote-Nord
Other region in Quebec
Maritimes provinces
Ontario
Western provinces
United States
Island of Montreal
South shore and west shore
Laval and north shore
Quebec city
Gatineau
Laurentides
Lanaudiere
Estrie (Eastern townships)
Beauce
Gaspesie
Abitibi-Temiscamingue
Cote-Nord
Other region in Quebec
Maritimes provinces
Ontario
Western provinces
United States
Municipality
Verification
Check on map
Check on map
Time
:
+/-
min.
:
+/-
min.
Days / Date
Mon
Tue
Wed
Tue
Fri
Sat
Sun
or
/
/
Comment
Trip from destination as a
driver
passenger
Departure
Arrival
Street name
Street number
or
intersection
Postal code
Region
Island of Montreal
South shore and west shore
Laval and north shore
Quebec city
Gatineau
Laurentides
Lanaudiere
Estrie (Eastern townships)
Beauce
Gaspesie
Abitibi-Temiscamingue
Cote-Nord
Other region in Quebec
Maritimes provinces
Ontario
Western provinces
United States
Island of Montreal
South shore and west shore
Laval and north shore
Quebec city
Gatineau
Laurentides
Lanaudiere
Estrie (Eastern townships)
Beauce
Gaspesie
Abitibi-Temiscamingue
Cote-Nord
Other region in Quebec
Maritimes provinces
Ontario
Western provinces
United States
Municipality
Verification
Check on map
Check on map
Time
:
+/-
min.
:
+/-
min.
Days / Date
Mon
Tue
Wed
Tue
Fri
Sat
Sun
or
/
/
Comment
Questions? Comments?
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