<%@LANGUAGE="VBScript"%> <% Session("Language") = "E" %> Flame - Registration

Flame Toronto 2010 Registration Form

Name   
Name  tag to read >>
Street Address
Street Address (cont.)
City
Postal Code   
E-mail Address
Phone Number
Church/Parish(Optional)
Dietary/Other Restrictions

(Specific medical diet restrictions only - not diets of choice)
If specified, please check with registrar/kitchen staff on arrival
Also indicate any mobility issues etc here
 Will serve as Small Group Leader     Will serve as Prayer Partner   
 Attended a previous Flame Conference - Last Attended > ____________
I plan to arrive before 5:30 PM

NOTE:   Dinner is available only to 5:30 PM.
Roommate
Roommates - please submit applications together if possible
Payment Method

Cheque    Money Order   
Make cheques payable to FLAME.

Please indicate your intended room type/rate  - Minimum deposit on registration - $100.00

1st time at FLAME    $125.00 (Double occupancy) 
     Before Jun 30      $195.00 (Double Occupancy) 
      Before Sep 15     $225.00 (Double Occupancy) 
         After Sep 15     $250.00 (Double Occupancy) 
                Single Occupancy         $295.00                  

Complete the registration form, Print, and MAIL with your payment to:
A. E Thompson - Flame Registrar
1150 Parkwest Place Suite 1006
Mississauga, Ontario
L5E 3K4
Minimum deposit with registration is $100.
Full refund less 10$ if requested prior to Sept 15.
After Sept 15 no refund but a substitute may attend in your place.
PLEASE ADVISE THE REGISTRAR OF ANY CHANGES.

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