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2001 Ontario Gathering Cornwall, Ontario |
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Registration Form Please print off this form and fill it in. Please print clearly. Surname __________________________ First name ______________________________ Address____________________________________________________________________ City_________________Prov/State_________ Postal/zip code _________ PHONE #(___)_______ FAX #(___)________ E-MAIL_______________________ This is my first Gathering in Ontario Yes ______ No ______ Club affiliation(s):- ____________________________________________________________ Medical conditions and special concerns we should be aware of (eg. Asthma, diabetes, allergies, etc.) ___________________________________________________________________________ Food sensitivities or dietary restrictions: - __________________________________________ If you wish to share a room, with whom:- __________________________________________ I would like dining room seating with:- ____________________________________________ Walking problems:- ___________________________________________________________ PAYMENT: Your registration application must be accompanied by your payment. This year three methods of payment are available: Please enclose 1 cheque for $298.00 OR 1 cheque currently dated for $158.00 and 1 cheque post-dated to Feb.1, 2001 for $140.00 OR 6 post-dated cheques for $50.00 each, dated Oct.15, 2000; Nov.15, 2000; Dec.15, 2000; Jan.15, 2001; Feb.15, 2001 and Mar.15, 2001. Please make cheques payable to: 2001 Miniatures Gathering This registration form must be mailed, POSTMARKED NO EARLIER THAN OCTOBER 11, 2000, to: 2001 Miniatures Gathering, Catherine Thomas, 1646 Route 300, Limoges, Ontario, CANADA, K0A 2M0 Registration Notification: If your cheque(s) have been cashed, consider yourself registered, no separate registration notification will be mailed in order to keep our mailing costs down. If you have questions, please contact Catherine Thomas at (613)443-3032 e-mail: thomas_treasures@cheerful.com |