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YMHC Online Courses Manual Payment Form

YMHC Online Courses Manual Payment Form for Direct Billing, Wire Transfer, EFT, Purchase Order, Cheque, or E-Transfer

Use this form if you cannot pay online by credit card. After you submit, YMHC will issue an invoice. Once payment is received (or your PO is approved), we will confirm your registration and add attendees to the course portal. Please provide the best email for invoicing and ensure all attendee names/emails are accurate.

Organization Name

Department / Team

Billing Contact – Full Name

Billing Contact – Title/Role

Email Address

Phone Number

Full Billing Address

Street

City

Province/State

Postal/Zip

Country

Registration

For pricing details: https://courses.ymhc.ngo/index.php

Are you registering for

Youth Wellness Action Plan

School-Wide Strategies to Support Students with School Attendance Challenges

Prices shown do not include sales tax. Applicable taxes will be added to the final invoice total.

Number of attendees you are registering

Payment Method & PO Details

Will you submit a purchase order?

Yes

Payment method you will use

Cheque

Interac e-Transfer

Direct Billing / EFT / Wire

Credit or Debit Cards

Attendee List

Please list every attendee exactly as you want it to appear on their certificate.

Each attendee must have a unique email address for portal access. If work emails block automated messages, use a personal email (e.g., Gmail/Outlook).

Attendee List

Please include:

First name (required)

Last name (required)

Unique email address (required)

Example:

Jane Doe, jane.doe@example.com

I confirm the attendee list is accurate and I understand that portal access emails will be sent to the email addresses provided.