REGISTRATION BCRCNA 33

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like to share your clean date?

MonthDayYear

Are you interested in chairing a marathon meeting at BCRCNA? Or are you interested in volunteering onsite? Please select your option(s)

Are you interested in being a speaker at the convention?

Yes

Please email a copy of your speaker tape to convention-programming@BCRNA.ca

Are you registering for more than 1 person? (You can register up to 6 people at a time).*

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like to share your clean date?

MonthDayYear

Are you interested in chairing a marathon meeting at BCRCNA? Or are you interested in volunteering onsite? Please select your option(s)

Are you interested in being a speaker at the convention?

Yes

Please email a copy of your speaker tape to convention-programming@BCRNA.ca

Would you like to register another person?*

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like to share your clean date?

MonthDayYear

Are you interested in chairing a marathon meeting at BCRCNA? Or are you interested in volunteering onsite? Please select your option(s)

Are you interested in being a speaker at the convention?

Yes

Please email a copy of your speaker tape to convention-programming@BCRNA.ca

Would you like to register another person?*

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like to share your clean date?

MonthDayYear

Are you interested in chairing a marathon meeting at BCRCNA? Or are you interested in volunteering onsite? Please select your option(s)

Are you interested in being a speaker at the convention?

Yes

Please email a copy of your speaker tape to convention-programming@BCRNA.ca

Would you like to register another person?*

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like to share your clean date?

MonthDayYear

Are you interested in chairing a marathon meeting at BCRCNA? Or are you interested in volunteering onsite? Please select your option(s)

Are you interested in being a speaker at the convention?

Yes

Please email a copy of your speaker tape to convention-programming@BCRNA.ca

Would you like to register another person?*

Full Name*

First NameLast Name

E-mail*

example@example.com

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Would you like to share your clean date?

MonthDayYear

Are you interested in chairing a marathon meeting at BCRCNA? Or are you interested in volunteering onsite? Please select your option(s)

Are you interested in being a speaker at the convention?

Yes

Please email a copy of your speaker tape to convention-programming@BCRNA.ca

Any questions, comments or additional information that you would like to add?

LOCATION:

VANCOUVER ISLAND CONFERENCE CENTRE

101 GORDON ST. NANAIMO

_____________________________

ACCOMODATIONS:

COAST BASTION HOTEL - $209/NIGHT

11 BASTION ST. NANAIMO - 1(250)753-6601
MARRIOTT COURTYARD - $199/NIGHT

100 GORDON ST. NANAIMO - 1(250)824-2705
DORCHESTER BEST WESTERN - $169/NIGHT

70 CHURCH ST. NANAIMO - 1(250)754-6835

MENTION YOU ARE WITH BC REGIONAL CONVENTION #33

NOTE: LIMITED NUMBER OF ROOMS AVAILABLE FOR GROUP DISCOUNT SO BOOK EARLY

Please select the item(s) and the quantity of the products you wish to purchase:

REGISTRATION

Early Bird Registration Package AVAILABLE UNTIL DECEMBER 1/2025This includes: Basic Registration, Friday Night Entertainment, Saturday Night Banquet, Saturday Night Entertainment, Sunday Breakfast

$180.00CAD Quantity

Early Bird Basic Registration AVAILABLE UNTIL DECEMBER 1/2025A BASIC REGISTRATION IS REQUIRED IN ORDER TO PURCHASE A TICKET FOR THE FOLLOWING: Friday Night Entertainment, Saturday Night Banquet, Saturday Night Entertainment, Sunday Breakfast, AS WELL AS Specialty Merchandise.

$45.00CAD Quantity

Friday Night Entertainment

$20.00CAD Quantity

Saturday Night BanquetDinner Buffet - Available until March 1/2026

$65.00CAD Quantity

Saturday Night Entertainment

$20.00CAD Quantity

Sunday BreakfastAvailable until March 1/2026

$30.00CAD Quantity

SPECIALTY MERCHANDISE

Unique Specialty T-ShirtONLY AVAILABLE WITH ONLINE REGISTRATION - PLEASE SELECT IF YOU WOULD LIKE A MENS OR A WOMANS SHIRT & SELECT YOUR SIZE RANGING BETWEEN M-XXXL

$40.00CAD

	Size	Quantity
Women
Men

Unique Specialty NA MugONLY AVAILABLE WITH ONLINE REGISTRATION

$25.00CAD Quantity

NEWCOMER FINANCIAL ASSISTANCE

Help Fund A Newcomer's TicketWould you like to make a contribution to help fund a newcomer to attend the convention? A contribution of any amount is welcome and makes a difference.

$1.00CAD

Total

$0.00CAD

Would you like a copy of the speaker tapes?

Yes

Please e-transfer total amount due to convention-registration@BCRNA.ca

NOTE: You have 24 hours to send your e-transfer after submitting your registration. If we do not receive a payment within that 24 hours, your registration will be cancelled.

Total Amount Due:

Please verify that you are human*

BC REGIONAL CONVENTION #33

Please email a copy of your speaker tape to convention-programming@BCRNA.ca

LOCATION:

VANCOUVER ISLAND CONFERENCE CENTRE

101 GORDON ST. NANAIMO

ACCOMODATIONS:

COAST BASTION HOTEL - $209/NIGHT

11 BASTION ST. NANAIMO - 1(250)753-6601

MARRIOTT COURTYARD - $199/NIGHT

100 GORDON ST. NANAIMO - 1(250)824-2705

DORCHESTER BEST WESTERN - $169/NIGHT

70 CHURCH ST. NANAIMO - 1(250)754-6835

MENTION YOU ARE WITH BC REGIONAL CONVENTION #33

NOTE: LIMITED NUMBER OF ROOMS AVAILABLE FOR GROUP DISCOUNT SO BOOK EARLY

Please e-transfer total amount due to convention-registration@BCRNA.ca

NOTE: You have 24 hours to send your e-transfer after submitting your registration. If we do not receive a payment within that 24 hours, your registration will be cancelled.