Webinar Recording Order Form
CCPA_WEBORD_06_2018
NOTE: Please print or type GST Registration #13121 2979 RT0001
Name
Mailing Address
City Prov./State Postal Code
Phone Email
Yes No
CCPA Member?
If yes, Member #
Webinar Title - (Please complete)
1)
2)
3)
4)
5)
6)
7)
8)
*Please note that all webinars are now sent as a link in an email message to the email address listed above.
Pricing:
Non-member Price ($40 + applicable taxes per webinar)
Member Price ($30 + applicable taxes per webinar)
Signature: Date:
Method of payment:
Cheque* American ExpressMastercardVisa
Credit Card #: Expiry Date (MM/YY):
Name:
CVS:
Signature: Date:
Options for submitting completed form:
1. Email form to reception@ccpa-accp.ca.
2. Print and fax form to: 613-237-9786
3. Print and mail form to:
202 - 245 Menten Place, Ottawa, ON, K2H 9E8
CCPA is committed to providing a safe, healthy and respectful working environment for its employees, expressly free from discrimination, bullying and
harassment. CCPA strives to provide its members with the best services possible but in doing so will not tolerate abusive, aggressive nor disrespectful language
or behaviour towards our staff or our members.
*If sending a cheque, please contact
CCPA at reception@ccpa-accp.ca
for the total amount of your order.
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signature
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