BAC Conference 2009

Registration Form
 

Name:  _____________________________________________________

Spouse/Partner:  _____________________________________________

Street: _____________________________________________________

City:     _____________________________________________________

Postal Code:  __________________________

Telephone:  ___________________________

E-mail:  ______________________________________________________

My name tag should read: ______________________________________

Home Parish:  ______________________________________________________

I have the following special dietary needs/ support:  ______________________________

___________________________________________________________________________

I enclose a cheque made out to:  B.A.C. Conference 2009

                                                for:   $_____________________________________
 

 Send to:      Scott Naisbitt
                    Registrar
                    10 Linden Place
                    Ingersoll, ON  N5C 3S7

                   (519) 485-5816
                    naisbitt@execulink.com

 Fee Schedule

Full Conference Adult:              $65.00
Full Conference Youth:              $25.00
Saturday only - Adult:               $45.00
Saturday only - Youth:              $15.00
Banquet only:                            $25.00
Ladies (Banquet/Lunch):           $35.00