Registration Form for Western Canada only
Name
Spouse (if attending)
Street Address
City
Province
AB
BC
MN
ON
SK
Postal Code
Telephone #
Email Address
Church
Room Preference for Entheos
Single Occupancy [$189.00]
Double Occupancy [$168.00 per person]
Meals only [$94.50]
Roommate preference
1st Choice
2nd Choice
If no preference is given, roommates will be randomly assigned.
Please contact
Rev. David Panton
[
tel 780.372.2402
email/
ellicefmc@telus.net
]
for any information and not Entheos
.
Please meet David Panton for payment at supper.
Indicates Response Required