Print this Form and Mail or Fax it to the address listed below:

WORKSHOP

Regular Early Bird Registration (prior to May 25, 2004) @ $137.00 ($146.59 including GST)

Regular Single Registration (after May 25, 2004) @ $167.00 ($178.69 including GST)

Multiple Registrations @ 10% discount = $150.30 ($160.82 including GST).

Current Paid Member / Subscriber to the Canadian FundRaiser Nonprofit Sector Management Information Service @ 25% discount = $125.25 ( $134.02, including GST).

TO REGISTER, please fill out the registration form and send it to us as follows:

By eMail, to keyworkshops@sympatico.ca. We will contact you directly to confirm details and arrange payment.

By regular mail, with payment by cheque or credit card information, to Canadian FundRaiser Key-To-The-Sector Workshops, Box 86, Station C, Toronto, ON M6J 3M7.

By fax, including credit card information for payment, to 416-267-2622.

By telephone, (please have your credit card information ready) to Mary Singleton, 416-267-1287.

FOR MORE INFORMATION, please call our Workshop Coordinator, Mary Singleton, at 416-267-1287.

REGISTRATION CENTRE

Canadian FundRaiser's Key-To-The-Sector Workshops

Prospect Research for
Small Development Departments

Presented by Barbara Fanning, University Health Network
Date: June 9, 2004 Time: 9:00am — 12:30pm
Osgoode Professional Development Centre, Toronto
[__] Early Bird @ $137.00 (including GST $146.59)
[__] Regular Single Registration @ $167.00 (including GST $178.69)
[__] Multiple Registrations @ $150.30 (including GST $160.82)
[__] CF Paid Subscriber @ $125.25 (including GST $134.02)

Total:_______________      

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Name & Title (printed)

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Organization Name

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Mailing Address

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City and Province

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Postal Code

_____________   
Phone

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Fax

__________________   
Email Address

  

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Additional registrant's name & title

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Email Address

  
Method of Payment
[__] Cheque [__] Visa [__] Master Card
Credit Card #: [_______________________________]
Exp. date: [_______________________________]
Signature: [_______________________________]
GST R896266251