Web WODIL 2024 2 Days Registration Form

Web WODIL 2024 2 Days Registration Form

2 Days In-Person

Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Wed July 3th, 2024Thurs. July 4th, 2024Fri. July 5th, 2024 (Optional Tourism)
How did you hear about WODIL*
Referred by
I am disabled and will need event access assistance
What are your disability needs
VeganVegetarianGluten FreeNone
WODIL Terms and Conditions*

My Products

Two Days Registration Product Image

Two Days Registration

Two-Days In-Person Registration

$650.00CAD Quantity

Accompanying Persons Product Image

Accompanying Persons

The child must be between 0-11 years old at the start of the conference

$200.00CAD Quantity

Day 3 Tourism Product Image

Day 3 Tourism

$150.00CAD Quantity

DiversityFirst Certification Product Image

DiversityFirst Certification

$1,100.00CAD Quantity

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: