Register "Wine and friends are a great blend.” Ernest Hemingway To register and pay via cheque or etransfer: please print this document,fill in, scan and email back to the email listed on the form.To register and pay via credit card:please fill in your information below.Registration is $3000.00* CAD per person.*not including 2.9% processing fee and GST Member Full Name/Title(Required) Sous-Commanderie Confrérie Title Member Email Address(Required) Member Cell Phone(Required)Special Dietary Needs/Member – please identifyTotal Number of Attendees12Guest InformationSpouse/Guest Full Name/Title(Required) Spouse/Guest Email Address Spouse/Guest Cell PhoneSpecial Dietary Needs/Spouse/Guest – please identifyIf New Name Tags Are RequiredMember's Full Name/Title Spouse/Guest full name/title PaymentRegistration Fee Price: $ 0.00 CAD GST Price: $ 0.00 CAD Total Credit Card(Required)Card Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.