2008 Convention – Pictou

If you would like to register via postal mail then download, print and return this PDF with your payment.
If your EDA is going to pay for your registration, have your EDA rep download, print, complete and mail this PDF with a payment.

Please Note: The convention fee is considered a political donation by Election Canada. Therefore your registration fee is tax deductible up to 75%!

Event Fee(s) *

Standard - $ 250.00

Student / Unwaged - $ 150.00

Carte de crédit

Seules Visa et Mastercard sont prises en charge

Type de carte

Numéro de la carte *

Code sécurité *

Date d'expiration *

Nom et adresse de facturation

Mon adresse de facturation est la même que celle indiquée ci-dessus

Prénom du contact facturation *

Autres prénoms du contact facturation

Nom du contact facturation *

Rue *

Ville *

Pays *

Province ou état *

Code postal *

Participant

Participant Role *

Your Registration Info

First Name *

Last Name *

Phone-Phone (Primary) *

Email Address *

Postal Code *