REGISTRATION FORM
Name
Address
City
Province
Postal Code
Phone
Fax
Email
University/College
Special Needs (medical, diet, etc.)
Included is my $30 deposit (balance due by July 31)
Included is the Conference Fee only of $125
Included is the Conference Fee & Accommodation Fee of $270 for 6 nights
Please make cheques payable to "CCSA NATIONAL CONFERENCE"
Please Print this page now and MAIL or FAX it in with your payment
You may also EMAIL all the above information to Fr. Jim at frjimo@interchange.ubc.ca
