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 Name
Last Name
Other
First Name
Last Name
Other
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Ministerial Number
Address
*
Street Address
Street Address Line 2
City
State / 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
*
prev
next
( X )
Reception
Per Person
$25.00 CAD
$
25.00
CAD
Quantity
1
2
3
Item subtotal:
$0.00 CAD
$
0.00
CAD
Pay with PayPal
Choose from one of the PayPal options to
make your payment.
Register
Should be Empty: