Cowichan Lake Encounter 2023

Cowichan Lake Encounter 2023

Date*

First Name*

Last name*

Address*

City*

Province/State*

Postal Code*

Email Address*

Phone Number*

Dietary Restrictions *

Please list Allergies, Gluten Free, etc. All meals are vegetarian.

Payment Method*

How will you be sending your payment?

Remember for PayPal add 3.5%

Checks mailed to:

Chris Beaubien

1269 Persimmon Close

Victoria, BC Canada

V8P 5K4

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Amount Due

This is the amount you will send via your payment method. Before April 21, cost $465 After April 21 $525

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