REGISTRATION FORM

'The Light Returning' Writing Cohort: 12 days of narrative writing to welcome the light back to the northern hemisphere.

First Name *

Last Name *

Email Address *

Please select the time zone you'll be joining from: *

I have previously registered with Groundfire CCW (workshop, conversations, courses etc)

Street address *

City *

Province/State *

Postcode *

Country *

Address collected only to determine tax application as per the Canadian Revenue Agency. By filling this section out, you certify your residence in or outside of Canada for purposes of the Excise Tax Act.

Registration *

The Light Returning Writing Cohort (December 21 - January 1) $25-$50 CADI am a 'The Light Returning' cohort member from 2019-2023

This offering is eligible for a sliding scale in the interest of economic justice. Please use the brief sliding scale guidance below:

Donation : Above and beyond, help keep us going!
Pay-it-Forward : Give a little extra to help us keep offering our access tiers.
Full price : Cover the operating costs including knowledge gathering, administrative labour, etc.
Access (Basic needs) : Contribute what you can - you're able to meet basic needs, but paying full cost would invite hardship.
Access (Under-resourced) : Contribute what you can - you might be underresourced/struggling to meet basic needs, and paying a higher amount would invite hardship.

I would like to pay via: *

Secure card payment through Stripe Local bank-to-bank transfer (available for CAD, USD, AUD, NZD, GBP or EUR only)

How did you hear about us?

LOCAL BANK TRANSFER PAYMENT INSTRUCTIONS

For Canadian transactions, 5% GST applies. If you'll be sending USD, GBP, AUD, NZD or EUR, we've adjusted the cost to reflect the average conversion rate with allowances for conversion fees on our end. If your total looks wrong, or you run into trouble, please contact us at info@groundfireccw.ca.

Please choose the sliding scale tier for The Light Returning (12-day Writing Cohort) that best fits your economic situation: *

Total pending registration cost

Please select the currency you would like to send payment in: *

Your registration total in CAD (including 5% GST) is:Please send payment via Interac e-transfer (auto-deposit) to payment@groundfireccw.ca. Please remember to put your name (if different from legal name on account) and workshop/course name in the e-transfer notes.

Your full cost of registration in EUR is:Please send payment via the following local bank transfer instructions. If you run into trouble, please contact us at info@groundfireccw.ca.

Your full cost of registration in USD is:Please send payment via the following local bank transfer instructions. If you run into trouble, please contact us at info@groundfireccw.ca.

Your full cost of registration in GBP is:Please send payment via the following local bank transfer instructions. If you run into trouble, please contact us at info@groundfireccw.ca.

Your full cost of registration in AUD is:Please send payment via the following local bank transfer instructions. If you run into trouble, please contact us at info@groundfireccw.ca.

Your full cost of registration in NZD is:Please send payment via the following local bank transfer instructions. If you run into trouble, please contact us at info@groundfireccw.ca.

USA (USD)

ACH transfer using the following local account details:

Account Holder Name: Groundfire Counselling & Community Work
Account Number: 9540140221225651
Routing Number: 123206972

OR

P2P (Person-to-Person) transfer to payment@groundfireccw.ca.

Please set the security question to "Ground" and the answer to "fire"
Please include "Workshop registration" in the transfer notes.

United Kingdom (GBP)

GBP account details for bank-to-bank transfer:

Account holder: GROUNDFIRE COUNSELLING & COMMUNITY WORK LTD
Sort code: 23-08-01
Account number: 26714604
IBAN: GB67 TRWI 2308 0126 7146 04
Bank name and address:
Wise Payments Limited
56 Shoreditch High Street
London
E1 6JJ
United Kingdom

European Union (EUR): Eurozone only

EUR account details for bank-to-bank transfer:

Account holder: GROUNDFIRE COUNSELLING & COMMUNITY WORK LTD
BIC: TRWIBEB1XXX
IBAN: BE72 9050 6129 5216
Bank name and address:
Wise
Rue du Trône 100, 3rd floor
Brussels
1050
Belgium

Australia (AUD)

AUD account details for bank-to-bank transfer:

Account holder: GROUNDFIRE COUNSELLING & COMMUNITY WORK LTD
BSB code: 774001
Account number: 222383759

New Zealand (NZD)

NZD account details for bank-to-bank transfer:

Account holder: GROUNDFIRE COUNSELLING & COMMUNITY WORK LTD
Account number: 04-2021-0248792-60

After sending payment, make sure you click "SUBMIT REGISTRATION".

Your spot is saved once we receive your registration (submit below) and local bank transfer. If we do not receive a bank transfer within two working days, we will contact you.

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