FR
Benefit Concert Evening 2024



REGISTRATION FORM

Transaction
$500.00 / unit
x
$
=
Subtotal: Total:
$
$5,000.00 / unit
x
$
=
Subtotal: Total:
$
$1,000.00 / unit
x
$
=
Subtotal: Total:
$
$10,000.00 / unit
x
$
=
Subtotal: Total:
$
Subtotal: Total:
$
Total:
$

Cheques and credit cards accepted

Organization's registration number: 
82882 8004 RR0001
Time remaining in your session: 15 Time remaining in your session: 15