FULL Name

Email

Phone (for our records only)

Address (for our records only)

I Am A: (Please Choose ALL That Apply:

WOW Gal
WOW Gal Directory / Magazine Sponsor
WOW Gal Angel Representative
WOW Pet Angel Representative
Online Auction Sponsor / Donor
Friend / Family Member of One of The Above
Potential WOW Gal or WOW Gal Angel Contributor
Just A Woman Who Wants to Be Part of this Great Event!

I Am Attending: (Please CHOOSE One)

On My Own
With Friend / Family Member
With a Group

Name(s) of Those I Am Attending With: (If Applicable)

REGISTRATION CHOICE: BEFORE DECEMBER 31/20

FULL EVENT for $40
SESSSION ONE for $20
SESSSION TWO for $20
SESSSION THREE for $20

REGISTRATION CHOICE: AFTER DECEMBER 31, 2020

FULL EVENT for $75
SESSSION ONE for $25
SESSSION TWO for $25
SESSSION THREE for $25

METHOD OF PAYMENT: (PLEASE CHOOSE ONE)

Invoice Me to Pay Via BANK MONEY TRANSFER IN CANADIAN FUNDS
Invoice Me to Pay via CERTIFIED CHEQUE OR MONEY ORDER IN CANADIAN FUNDS
Invoice Me to Pay Via CREDIT CARD / PAYPAL