Retirement Seminar Registration

(Local in Campbell River only)


Hi... thanks for registering for the seminar on retirement.

All you have to do is fill in the form below and your registration will be processed right away.

You don't have to pay for it right now. I need about 10 registrants before I can hold a local seminar. So as soon as I have the number of registrations I will call you and let you know about the location, date and time.

Here's the form and I will call you very shortly.

Looking forward to meet you at the seminar,

Diane,

Registration for the Local Action Seminars...

Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-Mail Address*
City*
Home Phone*
Name of the Seminar *
Name of spouse (if applicable)*
Time preference*
Morning
Afternoon
Evening
Weekday
Weekend

Please enter the word that you see below.