Social Media and Adolescent Mental Health Registration FormCoordinator: Dianne Ferguson
Ticket Selection
Tickets $100 each
Dietary Concerns
Make A Donation
Donation
Tax ReceiptBy EmailBy MailNot required
Contact Information
First Name
Last Name
Email
Phone
Address
CityPostal
Verify your Purchase
No items purchased.
Event Tickets:
Donation:
Raffle Tickets:
Total fees due:$0.00
Payment Information
Method of Payment  e-Transfer  Cheque  
Credit Card Number
Expiry DateCVC
Name on card
For payment by cheque, do not mail a cheque. Give the cheque to Dianne Feguson at the event.

For payment by eTransfer, please email the payment to treasurer@chascalgary.ca.Remember to include in the Comments section of your e-Transfer "Speakers Lunch" with your name.

Click on the image above
to get the event details.