Gala des Mérites Voile Québec How many people are you registering? * 1 2 3 4 5 6 7 8 9 10 (including yourself) Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". Gala des Mérites Voile Québec First Name * Last Name * Entrer votre date de naissance pour valider avec quel tarif vous pouvez vous inscrire et pour valider votre identité. 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Yes No If so, we will contact you when the need arises. Frais d'inscription Gala des Mérites Voile Québec * Plein tarif, 12ans et plus - $ 100.00: Inclus un don de 65$ 11 ans et moins - $ 50.00 Nominés - $ 50.00 Dons pour développer les sports de voile au Québec Les dons de 25$ ou plus seront bonifiés à hauteur de 380%. Avec le programme "Voile Québec, J'embarque!", un don de 50 $, c’est un impact de 240 $ pour développer les sports de voile au Québec. Aidez nous à atteindre notre objectif de avant le 10 000$ avant le 24 février 2024 !! J'accepte que mon don soit utilisé pour les opérations de la FVQ Yes No - none - Publication du nom et montant * Publiez mon nom ainsi que le montant donné Je désire que mon nom soit publié mais non le montant donné Je désire rester anonyme, mais le montant indiqué sur le site Total for this participant Credit Card Card Type - select - Visa MasterCard Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - Canada Argentina Australia Bahamas Belgium France Germany Ireland Spain Switzerland United Kingdom United States State/Province * - select State/Province - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code * Review