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CNWE
2007 Conference
Registration & Membership
Renewal
To register for the conference,
please print this form, complete, and mail with
enclosed cheque, payable to “CNWE Conference 2007” to:
CNWE Conference 2007
c/o Ann Manuel
202-260 Doris Ave.
Toronto, ON
M2N 6X9
| Last Name: |
________________________________________________________ |
| First
Name: |
________________________________________________________ |
| Address: |
________________________________________________________ |
| City/Town: |
_______________ |
Prov./Terr.: |
_______________ |
| Postal
Code: |
_______________ |
Telephone: |
_______________ |
|
E-mail: |
_______________ |
|
|
Conference Registration |
|
| (received by
March 31, 2007) $140.00 |
$ ______ .00 |
|
(received after March 31, 2007) $155.00 |
$ ______ .00 |
| |
|
Accommodation and Meals
(Includes room at Loretto College for 2 nights
and 6 meals) |
|
Single Room (common washrooms) $112.00 |
$ ______ .00 |
|
Double Room (interconnecting washroom) $94.00 |
$ ______ .00 |
| I shall
be sharing a room with: ________________ |
|
| If you have any dietary or other special needs, please
specify: |
|
| Meals Only (Includes 2 lunches, 1 dinner) $29 |
|
CNWE Membership / Membership Renewal |
|
Membership
Year - June 1, 2007- May 31, 2008
Annual membership fee $50
Unwaged $25 (or pay what you can)
International $60 |
$ ______ .00 |
| Renewal _____ New-Member
_____ |
|
(Includes
subscription to The Seed Keepers)
Optional donation for conference bursaries |
|
TOTAL
ENCLOSED |
$
______ .00 |
Please
check if you need financial assistance to attend the conference.
There are a limited number of bursaries available.
|
____ |
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