Supporting the Resilience of Suicide Loss Survivors

In honour of International Survivors of Suicide Day

 

Registration Part 1: Your Information

 

Select Workshop:
Courtenay, November 18, 2019, 10:00 am to 12:00 noonVictoria, November 22, 2019, 10:00 am to 12:00 noonNanaimo, November 25, 2019, 10:00 am to 12:00 noon

 

Name

Email Address

Phone

 

Name 2

Email 2

Name 3

Email 3

Name 4

Email 4

Name 5

Email 5

Name 6

Email 6

If registering more than six participants, please add their names and email addresses in the Additional Comments box below.

 

Organization

Address

City, Province, Postal Code

 

Registration Part 2: Payment Method

As per our registration policies, payment must accompany this personal information form.

1. Credit Card by calling VICS (office is open Monday to Thursday, from 9 to 12 and 1 to 4)2. Cheque via post (not available within 10 business days of date of workshop presentation)3. PayPal Shopping Cart4. eTransfer payment via etransfer@vicrisis.ca

 

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Additional Comments:

 

I understand that payment is REQUIRED to be registered. Yes

I have read and understand Course Registration Policies for the Supporting the Resilience of Suicide Loss Survivors workshop. Yes

 

 

 

 

Supporting the Resilience of Suicide Loss Survivors Workshop

Workshop Description
Registration and Payment Options
Course Registration Policies
Pay via PayPal