REGISTRATION FORM FOR MINI CONFERENCE
ON VANCOUVER ISLAND
October 16, 2010

Location: New Life Community Baptist Church
              1839 Tzouhalem Rd
              Duncan, B.C.

NAME:

# of persons attending(members of immediate family)
(High School + students welcome)
PHONE #

EMAIL:


I will pay by:
Bill to School Board:
                   PO #

If paying by credit card, we will call you for the credit card #.

If paying by cheque: $30 Cheque made payable to Excellent Resources
Excellent Resources
2440 Huckleberry Rd
Mill Bay, BC
V0R 2P4

LUNCH: $10/person
(proceeds will go to the New Life Baptist Girls club and Boys club)

Any questions please call 877-825-7414 or email bev@excellentresources.net



Thank you.  You will receive a confirmation of your registration via email shortly.

See you there!
Bev Rempel
Excellent Resources/Webster's Academy



Visa
Mastercard
Cheque
Yes, I will purchase the lunch