IGRA Silver Anniversary Toronto 2009 Convention November 11–15, 2009

Registration

Early Bird registration fee is $80.00 CAD.  After the Early Bird deadline of Oct. 1st, the rate goes up to $100.00 CAD. This form is for registration via Credit Card only. To pay by check please use the printable form

Please make sure your e-mail address is correct. You should receive a confirmation e-mail within 48 hours, if not please contact us at conventionregistration@ccgra.ca

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* Denotes required fields

*First Name:
*Last Name:
  If using a credit card with a name different than above,
enter the name as it appears on the card
 
  Attendees name as it should appear on convention badge
  Association the attendee will be representing. If registering
as a guest or partner, please register on our guest page.
 
*Address:
*City:
*Province or State:
*Postal or Zip Code:
*Phone:
*E-mail:
*

Attending the convention as: (check all that apply)

 
IGRA Executive Committee Member
Trustee
  Committee Chair
Delegate
  Alternate Delegate
  What day do you plan on arriving?
  What day do you plan on leaving?
 

Would you like to receive information on our spouse/guest program?

  Any Special Circumstances?(ie. Signing interpreter, Seeing Eye Dog,
Wheelchair Access, Severe Allergies.)
 
*
Have you booked your hotel reservation as part of our IGRA room block? Yes No

If not, you can call Toronto Marriott Bloor Yorkville's reservation center at 1-800-859-7180 and reference the group code "IGRA Gay Rodeo" when making the reservation. Room rate is $119.00 CAD for dlb occupancy.
(The rate is available until 5:00pm October 21, 2009) There is no additional cost for triple or quad occupancy.

Please verify the information above is accurate. There is no confirmation screen after you submit this form.