2018 ATLANTIC CLASSIC CHAMPIONSHIPS APRIL 21, 2018 REGISTRATION FORM

PERSONAL INFORMATION

**VERY IMPORTANT - ATTENTION ALL REGISTRANTS** BEFORE YOU BEGIN THE REGISTRATION PROCESS, BE PREPARED TO PAY IMMEDIATELY - DO NOT REGISTER WITHOUT PAYING, IF YOU DO, REGISTRATION WILL BE NULL AND VOID**

This will be my: *
 
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In order to compete, you must become a CPA member.  Go to www.canadianphysiquealliance.com to sign up!
*This is mandatory before you compete the registration process*
Are you a CPA Member? *

DIVISION

Registration is $100 per class.  Registration for an extra class or cross-over is $100.  ALL CROSS-OVERS ARE PERMITTED!  On or before March 10th:  The Promoters will reimburse registrants $50 in (gas card or other) for one (1) only crossover class (witinh the same discipline only)* i.e. If you do Figure Open and Master Figure - as a reward for doing 2 classes.  All online registrations charge an extra service fee per transaction depending on the number of classes you sign up for.  *Please note that a cross-over into another discipline does not reimburse you a $50 reward.
What division (s) are you competing in? (Check all that apply) *
How many classes? *

CREDIT CARD INFORMATION

Our orders are processed by PayPal. Once your form has been submitted you will be forwarded to PayPal where you will then enter in your payment information.  Please note *there will be a $5.00 service fee added to your purchase.  All payments are non-refundable.
TWO PAYMENT OPTIONS AVAILABLE AFTER YOU CLICK CONTINUE:
 
CLICK ON PAYPAL - PAY IMMEDIATELY - *YOU DO NOT NEED A PAYPAL ACCOUNT
CLICK ON PAY BY CHECK - OTHER PAYMENT OPTIONS (PAY IN PERSON, MAIL CHEQUE OR BANKING TRANSFER)