CCNA XXVIII Pre-Registration Credit Card Payment

CCNA XXVIII Pre-Registration Credit Card Payment





Please use this form to register for CCNA being held in Winnipeg, Manitoba, Canada on September 18, 19 & 20, 2020



This form 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

CCNA does not offer New Comer packages but we do consider offering Hardship Packages at the Registration desk. Hardship Packages are available only onsite and are considered on a case by case basis.


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)

  • Name Name *

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

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

    Pre-Registration Full Package includes everything listed below. Pre-registrations are only available for purchase until August 9, 2019

    A 3% fee to process this payment is included in the rates below. *
    Select your package or items from below.

    Pre-Registration Full Package includes everything listed below. Pre-registrations are only available for purchase until August 9, 2019

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

    Pre-Registrations are only available for purchase until Aug 9, 2019

  • There are many vegetarian options included in our buffet banquet. However, you are welcome to request a vegetarian meal. Do you wish to request a vegetarian meal at the banquet?

    There are many vegetarian options included in our buffet banquet. However, you are welcome to request a vegetarian meal. Do you wish to request a vegetarian meal at the banquet?

    Our vegetarian entrée is a roasted acorn squash stuffed with grilled vegetables and black beans, served with potatoes

  • Hardship Contribution ($40.00 will purchase a basic pre-registration package but donations of any and all values are appreciated) CCNA will distribute registration packages based on policy. $ .

    Monies collected through this process are used to assist those who cannot afford a registration package. Basic Pre-Registration is $41.20. Please contribute any dollar amount you can.

  • I understand and agree all sales are final. There are no refunds *
    I understand and agree all sales are final. There are no refunds
  • Add a second registrant? *
    Add a second registrant?
  • C$0

    Total