Course Information

Men & Anger

Date(s):

Nov 21, 2022 6:30pm-9:30pm
Nov 23, 2022 6:30pm-9:30pm

Price: $150.00

Personal Information

First Name *

Last Name *

Address *

City *

Province/State *

Country *

Postal Code/Zip Code *

Email *

Confirm Email *

Home Phone

(min. 1 phone no. required)

Work Phone

x

Cell Phone

Date of Birth *

Gender *

Man

Woman

Genderqueer/Non-Binary Self-Identified

Partner Information

First Name *

Last Name *

Date of Birth *

Gender *

Man

Woman

Genderqueer/Non-Binary Self-Identified

Billing Information

Do you require a subsidy? *

No

Yes

Copy from Personal Info

First Name *

Last Name *

Address *

City *

Province/State *

Country *

Postal Code/Zip Code *

Phone

Card Number *

Card Type *

Expiry Date *

CVV *

Workshop Registration

All funds displayed in Canadian dollars (CAD).

The class schedules are in Mountain Standard Time (MST).

Course Information

Men & Anger

Personal Information

Partner Information

Billing Information

Cancellation policy

Workshop Registration

All funds displayed in Canadian dollars (CAD).

The class schedules are in Mountain Standard Time (MST).

Course Information

Men & Anger

Personal Information

Partner Information

Billing Information

Cancellation policy

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