NMC Registration Form

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Date

REGISTRATION IS CLOSED

How many people are you registering?*

I am only registering myself

I am registering a group

Registering your family?

Yes, I am registering my family

Please register only ONE family per form

Note: There is no charge for children 2 years old and under but they still need to be registered.

Please provide your information in case we have any questions about your group registration

Your Name*

First Last

Your Email*

Your Phone*

If you are registering a group/family and also participating, please make sure to add yourself as a participant.

Chapter*

Please Specify*

Participants

Participant Name	Chapter	Total Registration	Actions

There are no Participants.

Total deposits

Price: $ 0.00 CAD

Total Number of Participants

Total Fees (assuming first accommodation option for all participants)

Please note that if your first accommodation option is not available this total will change accordingly. Your Chapter will then be made aware of the price change.

Payment Method for Deposit

Chapters will be billed immediately for the deposit amounts. Chapters will also be billed for the balance once registration has been closed.

You will be charged immediately for the deposit amounts. Chapters will be billed directly for the balance once registration has been closed.

Credit Card Payment Details

Payment Method*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total Payable Today

Please add a participant to continue