CCNA XXVI Advance Registration - Credit Card Payment

CCNA XXVI Advance Registration - Credit Card Payment

This forms uses Credit Card for payment.

There is an online service fee of 3% to process these types of payments.

If you prefer to pay using email money transfer and avoid surcharges click here

Please use this form to register for CCNA being held in Charlottetown, PEI on Oct 19, 20 & 21, 2018

This is considered an "Advance Registration" which does not have the same benefits as a Pre-Registration but does allow you to pick up your package in the Pre-Registration line onsite and does give you access to all items including ticketed events.

credit card

  • 1First Registrant> 2Second Registrant>3Review>4Payment
  • Registrant

    Complete this section for the first registrant (there is a section for a second registrant on the next page if you select the option to add another registrant)

  • Have you already registered and now wish to add items to the existing registration? *
  • Name *

    Though this is an anonymous program, your full name would be very helpful in processing your registration

  • Address *
  • Phone * - -
  • Would like to have your email address added to our mailing list to receive convention updates? *
  • Would you be interested in attending any French Speaking meetings? *
  • Clean Date / /
    Pick a date.
  • Are you interested in serving? (Select all that you are interested in)
  • Select your package or items from below.

    Advance Full Registration Package includes everything listed below and are only available until Oct 17, 2018

    A 3% fee to process this payment is included in the rates below. *

    Advance Registrations are only available for purchase until Oct 17, 2018

  • Are you interested in taking a 40 minute carriage ride from the host hotel around downtown Charlottetown? (Seats are very limited and cost $25.00 each. Rides will take place late Sat morning and early Sat afternoon) *
  • Which of two time slots would you prefer? (We will try to accommodate your wishes but we cannot guarantee)
  • How many seat do you wish to reserve? Select one option
  • New Comer Contribution ($30.00 will purchase a basic package for a new comer but donations of any value are welcome) CCNA will distribute registration packages based on policy. $ .

    Monies collected through this process are used to assist those who cannot afford a registration package. Early Bird Basic Registration is $30.00. Please contribute any dollar amount you can.

  • I understand and agree all sales are final. There are no refunds *
  • Add a second registrant? *
    Add a second registrant?
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