Account Registration – Comox Valley community way

You're Reading: Account Registration – Comox Valley community way

Please enter your desired username. * Choose your username with some care as it will be used frequently. Use only letters and numbers, with no embedded spaces or #&$!@ etc. […]

Please enter your desired username. * Choose your username with some care as it will be used frequently. Use only letters and numbers, with no embedded spaces or #&$!@ etc.

Please enter an alternative username In case your first choice is unavailable

First Name (or Organisation name) *

Last Name (or Organisation contact) *

Email address *

Confirm email address *

Phone *

Mobile

Street address or P.O. Box number *

City *

Postal Code *

Website (if applicable)

If you have recently made a contribution to a non-profit in exchange for cw$ please enter the amount of your contribution below. Note: cw$cannot be credited to your account until corroborated by your payment receipt.

If you entered an amount above, please specify the name of the organisation from whom you purchased your cw$.

Never submit passwords through Google Forms.

info@podcreative.ca

Account Registration – Comox Valley community way

Pin It on Pinterest

Account Registration – Comox Valley community way

Interested in more content?

Success!

Pin It on Pinterest