subject_line
Registration Form for Western Canada only
Name
*
Spouse (if attending)
Street Address
*
City
*
Province
*
AB
BC
MB
ON
SK
Postal Code
*
Telephone #
*
Email Address
*
Church
*
Any dietary preferences or needs ?
Room Preference for Entheos
*
Single Occupancy [$210.00]
Double Occupancy [$190.00 Pastor/ $200.00 Spouse]
Meals only [$140.00]
Roommate preference
1st Choice
Roommate preference
2nd Choice
Roommate preference
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 before dinner.