REGISTRATION BCRCNA 33

Your 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 registering for more than 1 person? (You can register up to 3 people at a time).*

Full Name of 2nd Person*

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 registering for more than 1 person? (You can register up to 3 people at a time).*

Full Name of 3rd Person

First NameLast Name

E-mail

example@example.com

Phone Number of 3rd Person

Address of 3rd Person

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Clean Date of 3rd Person

MonthDayYear

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

http://coa.st/BCNarcoticsAnonymousConferenceandAGM

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

MARRIOTT COURTYARD - $199/NIGHT

https://app.marriott.com/reslink?id=1771022652413&key=GRP&app=resvlink

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

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

REGISTRATION

Registration Package

This includes: Basic Registration, Friday Night Entertainment, Saturday Night Banquet, Saturday Night Entertainment, Sunday Breakfast

$190.00CAD Quantity

Basic Registration

A 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.

$55.00CAD Quantity

Friday Night Entertainment

$20.00CAD Quantity

Saturday Night Banquet

Dinner Buffet - Available until March 1/2026

$65.00CAD Quantity

Saturday Night Entertainment

$20.00CAD Quantity

Sunday Breakfast

Available until March 1/2026

$30.00CAD Quantity

SPECIALTY MERCHANDISE

Unique Specialty T-Shirt

ONLY 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 Mug

ONLY AVAILABLE WITH ONLINE REGISTRATION

$25.00CAD Quantity

NEWCOMER FINANCIAL ASSISTANCE

Help Fund A Newcomer's Ticket

Would 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

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*