Please fill out this form carefully to avoid mistakes. Billing Address and Email fields are required and your address information should be entered as it would appear on your credit card statement. Once you have completed this form, press “Proceed to Online Payment” and you will be directed to our secure payment site to complete your purchase. ALL AMOUNTS ARE IN CANADIAN DOLLARS.

QTY   BRC Fall Splash Dinner Tickets at $100.00 CDN per ticket    

Total:    $ CDN

BILLING ADDRESS

Last Name

Company Name

Address

City

Province

Postal Code

Country

Phone Number

Fax Number

EMAIL ADDRESS

First Name

Last Name

Company Name

Address

City

Province

Postal Code

Country

Phone Number

Fax Number

Upon receipt of your payment, the indicated Conservation Dinner tickets will be mailed to you at the mailing address given above. There will be no refund or return on dinner tickets. To ensure the security of your personal information your order will be processed on a secure server hosted by our payment provider, Moneris Solutions.

TERMS AND CONDITIONS

I. DELIVERY METHOD
Upon receipt of your payment, the indicated event ticket(s) will be mailed to you at the mailing address indicated on this form.

II. RETURN POLICY
By completing this form and submitting financial information, you are agreeing to purchase a membership with Trout Unlimited Canada or a goods or service as otherwise described. There will be no refund or return on these items or services.

III. PRIVACY POLICY
The personal information collected through transactions with Trout Unlimited Canada is collected under the authority of the Alberta Freedom of Information and Protection of Privacy Act, Section 33 (c), and is protected by that Act. The financial information will be used solely to process the payment for the goods or services you have indicated. No financial information will be retained by Trout Unlimited Canada. Any personal information collected by Trout Unlimited Canada is used solely for the purposes stated at time of collection, i.e. to create membership, to accept volunteers, to provide membership services. The membership information may be shared within the organization as part of our chapter and regional activities. This information will not be sold or shared with any third party. If you have any questions regarding the foregoing, please contact Lorne Hutchison, Director of Finance and Administration, 403-221-8373.