CFUW Ontario Council

Central Regional Gathering: October 21^st 2006, Cobourg

Registration Form

                                       Name:  __________________________________________

                                       Address: _________________________________________

                                       Telephone: ____________    Email: _____________________

                                       Club:  ___________________________________________

Please complete one form for each participant.

Advance Registration Fee   - $35.00  

After  September 30th - $40.00

Registration deadline – October 14

Please make cheque payable to:

CFUW Northumberland

Mail registration form and cheque to:

Helen Banfield

341 Mathew Street, Cobourg, ON  K9A 3E6

email: colin.banfield@sympatico.ca

Receipts will be available on October 21^st

                                    Please indicate your first and second choice (1 or 2) for each of the sessions below.

Morning	Advocacy	Volunteerism	LHIN
Session 1
Session 2
Afternoon	Leadership	Membership issues	Newsletters/Websites
Session 3

For further information call:

Sandra 905-342-5751 or Anne 905-885-4694

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