Reception Form with Payment

Reception Registration for the Canadian Constituents

Wednesday July 10th 2024 @ 9:00 pm
79th International General Assembly, Indianapolis

Please book by filling the form below and specify the number of persons attending.
Full Name*

First NameLast Name
Other

First NameLast Name
Other

First NameLast Name
E-mail*
example@example.com
Phone Number*
Ministerial Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
Attending*
prevnext( X )
Reception Per Person
$25.00CAD Quantity
Item subtotal:$0.00CAD

Total

$0.00CAD
Pay with PayPal

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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Reception Registration for the Canadian Constituents