CCRDA - CONTACT

Canadian Christian Relief & Development Association

For more information, please contact:

CCRDA
c/o Joella Reitsma
16 Soper Creek Drive
Bowmanville, ON L1C 4G1

Tel: 289-385-7307
Email CCRDA

Charitable Registration #: 80427 5949 RR0001

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*

Email Address*

Phone*

Organization Name*

Registration Options*

CCRDA Forum 2015 Early Bird Member (Registrations received by April 3 are $150 each)

CCRDA Forum 2015 Late Member (Registrations received after April 3 are $175 each)

CCRDA Forum 2015 (Non-Member Registration are $180 each).

Number of people attending (NOTE: $15 discount per registration if two or more people are attending from the same organization OR Register 3 staff from the same organization and get the fourth registration free!*

Names and email addresses of those attending (First/Surname/Email Address)*

Total $ amount of this registration*

Payment (Choose 1 from drop-down list)*

CREDIT CARD # (No spaces)*

Name on Credit Card*

Expiration Date (MM-YY)*

Food Preference

I require a gluten-free lunch

I require a vegetarian lunch

Comments

Enter the code displayed*

E-mail Sign-up Pop-up Box
Required	Field Label	Form Field
Sign-up for the CCRDA mailing list and you can receive 1 free webinar! CCRDA members and non-members will receive CCRDA updates, including webinar schedules and a quarterly newsletter on critical topics in relief and development. CCRDA members will receive monthly updates on activities, opportunities and news. All CCRDA webinars are free for staff of member organizations. Your information will be kept private and secure.*
*	First Name:
*	Last Name:
*	Email Address:
*	Is your organization a member of CCRDA?	CCRDA Member: Non-CCRDA Member:
*	Organization Name:
*	Enter the code displayed: