Individual Registration

Please enter information in the form below to process registration for event Super Mario Galaxy - Private Screening.

Ticket Type	Price	Available Place	Quantity
Admission Générale / General Admission FR : Accès général à l’événement, valide pour la date sélectionnée. EN : General access to the event, valid for the selected date.	20.00$	30

First Name *

Last Name *

Fursona name

Organization

Address *

Apartment / Unit

City *

Zip *

Country *

State

Phone

Cell phone

Email *

Comment

During the screening, do you plan to buy popcorn, regardless of the size? *

Coupon

Amount

$

Discount Amount

$

Gross Amount

$

Payment Method *

Captcha*

28 + 67 = ?

L'AÉAQ est une organisation associative qui se consacre à la promotion et à la célébration de la culture furry au Québec.