Registration Form

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Registration Form. Grandmother Moon Lodge. 14th Aboriginal Women's Gathering. Aug.23-25th 2013 St.Laurent ,MB {204} 775-0568 [email protected].
Registration Form Grandmother Moon Lodge 14th Aboriginal Women’s Gathering Aug.23-25th 2013 St.Laurent ,MB {204} 775-0568 [email protected] Name/Organization; ____________________________________________________ Address;_____________________________________________________________ Postal code:___________ Home Phone;_______________Work Ph._______________Cell Ph._______________ E-Mail:___________________ Registration Fee:$195.00 per individual. $180.00 GROUP RATE {groups of 8 or more} DEADLINE TO REGISTER:WEDNESDAY,AUGUST 6TH Please send registration form and cheques (payable to Grandmother Moon Lodge) TO:Grandmother Moon Lodge, 38 Maple Street Winnipeg,MB R3B-0Y8 Photocopy this form so every woman fills one out! See you soon! NOTE: If we are hit by torrential rains and are forced to Cancel Gathering ,fees will be reimbursed holding back $35.00,for administration/processing fees ---------------------------------------------------------------------------------------------------------------------------------

Registration Form Grandmother Moon Lodge 14th Aboriginal Women’s Gathering Aug.23-25th 2013 St. Laurent,MB {204} 775-0568 [email protected] Name/Organization______________________________________________________ Address;_____________________________________________________________ Postal Code:_____________ Home Phone______________Work Ph.______________Cell Ph._________________ E-Mail;____________________ Registration Fee:$195.00 per individual. $180.00 GROUP RATE {groups of 8 or more} DEADLINE TO REGISTER:WEDNESDAY,AUGUST 6TH Please send this registration form and cheques (payable to Grandmother Moon Lodge) TO: Grandmother Moon Lodge 38 Maple Street Winnipeg,MB R3B-0Y8 Photocopy this form so every woman fills one out! See you soon! NOTE:If we are hit by torrential rains and are forced to Cancel Gathering, fees will be reimbursed holding back $35.00 ,for administration/processing fees