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REGISTRATION FORM
Name: ________________________________________________________________________
(last)
(first)
Address: ______________________________________________________________________
______________________________________________________________________________
E-mail: ________________________________________________Phone #:_________________
Food allergies? __________________________________________(re/ lunch and refreshments)
Registration fees
Symposium Registration*.....$80 by July 30, $95 after July 30 ... $ __________
Student Registration*...$30 $ __________
Organists Workshop Registration ..$15 $ __________
*Registration includes the keynote, workshops, devotions, lunch, and refreshment breaks.
*Registration fee is refundable, except for a $25 processing fee.
Please contact us if your e-mail address changes prior to the Symposium.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Methods of Payment
By cheque
Payable to: Concordia University of Edmonton
Mail along with registration form to:
Joy Berg, Symposium Registration
Concordia University of Edmonton
7128 Ada Blvd.
Edmonton, Alberta T5B 4E4
*A $20 fee will be charged for all NSF cheques
Credit Card
Visa, MasterCard or American Express
Credit Card payments only by phone or in person
to the Student Accounts office (780/479-9201)
Confirmation of registration and receipt will be sent via e-mail