Neil Bennett Autumn Birding Classic 2024

How many people are you registering? *

Your Participant Information

First Name *

Last Name *

Email and phone are required so we can contact you if the event is rescheduled or cancelled.

Email *

Phone *

Team Name

Donation *

$25 - $ 25.00

$50 - $ 50.00

$100 - $ 100.00

No thank you! - $ 0.00

Total for this participant

Direct Debit

Account No. *

Bank Identification Number *

Bank Name *

Account Holder *

Account type *

Agreement Your account data will be used to charge your bank account via direct debit. While submitting this form you agree to the charging of your bank account via direct debit.

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

Province/Province *

Postal Code *

You can find your Transit number, Bank number and Account number by inspecting a cheque.

Please enter them below without any punctuation or spaces.

Transit Number (5 digits) *

Bank No. (3 digits) *