JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CCAMMA Spring Gathering - Registration
Event Date & Time: June 8th, 2022 07:00 P.M.
Location: 豪門宴 Casa Deluz, 1571 Sandhurst Cir., Scarborough, ON M1V 1V2
Guest Speaker: 康翠瑩 Jenny Hong
For inquiries, please contact us at info@CCAMMA.com
* Indicates required question
Email
*
Your email
Name
*
Your answer
Organization
Your answer
Number of Tickets - CCAMMA Package
$80/seat, Dinner and Seminar, PLUS 1-year CCAMMA membership
Your answer
Number of Tickets - Regular Seating Only
$75/seat, Dinner and Seminar
Your answer
Payment Details
Payment by Interac E-Transfer only. Please send payment to
events@ccamma.com
and provide the name, email and institution from which the fund will be sent. PLEASE USE PASSWORD: CCAMMA.
Name of Banking Institution
*
TD, CIBC, BMO, Scotia Bank, RBC, HSBC, etc.
Your answer
Name of Payee
*
Name that appears on your banking account
Your answer
Email of Payee
*
email address on record of your banking account
Your answer
Confirm Payment Instructions
*
I confirm payment to be sent to
events@ccamma.com
| password: CCAMMA
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of CCAMMA.
Report Abuse
Forms
