Nog-da-win-da-min Family and Community Services - A Gathering of Nations Conference Registration Form

A GATHERING OF NATIONS
CONFERENCE REGISTRATION FORM

Registration Fees

Early Bird - $300.00 (deadline September 4, 2009 - 4:00 p.m.)
(fee includes 2 lunches and 1 supper evening social & conference materials) - but does not include other meals, travel or accommodations
Regular Fee - $375.00 after September 4, 2009

Limited space available

Registration Form

Name: (required) (to appear on nametag)

Position/Title: (required) (to appear on nametag)

Address: (required)

City: (required)

Postal Code: (required)

Phone: (required)

Fax:

Email:

Accomodations	Further Information
A block of rooms has been assigned to this conference at: $65.00 + Tax Days Inn Sault Ste. Marie, Michigan 1-906-635-5200	If you require further information please contact: Vicky Corbiere, Conference Co-ordinator 1-705-368-3183 or 1-705-282-7178 email Vicky@manitoulin.net www.nog.ca will provide you further information

All cheques payable to:
Please mail cheque and registration form to :

Nog-da-win-da-min Family and Community Services
405 Gran Street,
Batchewana First Nation
Sault Ste. Marie, Ontario P6A 5K9

Cancellation fee: a $100.00 administration fell will be charged for all refunds prior to September 15, 2009. After September 15, 2009 refunds will not be provided. Registrations are transferable with prior notification.

Registration Forms and Purchase Orders can be faxed to: 705-946-3717
You will not be officially registered until payment is received.