9th CFC CANADA
FC – C NATIONAL CONFERENCE
FCC Chapter
August 3-5, 2007 ST. NORBERT COMMUNITY CENTRE WINNIPEG
Personal Information
E-Mail
Suite/House No. Street Name
Last Name
City Province
First Name First Name
Husband Wife
Country Postal Code
Name Printed on Conference Tag (Husband/Wife)
Home Phone Business Phone / Fax
CFC Area Chapter
Payment Information Medical Information
Conference Fee: $180.00 /per couple Indicate any illness that will require special attention
(Allergies etc. and special diet, e.g. vegetarian)
Minimum Deposit
$75.00
Deposit:
Deadline for Name Relationship Tel.No.
May 31/07
Deposit : Amt Due: In case of Emergency, please contact:
Full Payment for Conference is due: JUNE 30/07
Travel Information
Terminal Airline/Bus Co. Flight/Bus No. Date Time Ride Needed
Arrival
Departure
Accommodation needed before the conference ? After the conference?
Are you attending the Family Ministry Congress on Aug. 2-3? Yes No Fee: $20.00/per delegate
Kids Watch - $50.00 per child REGISTRATION COMMITTEE CHAIR: NIDA OLEA
(204)-783-8264 email address- nidaolea@mts.net / nolea@wsd1.org
Child/Children’s Name: EAST REGIONAL AREA: JING SALMON
(204) 589-4677 email address: jenpsalmon@hotmail.com
WEST REGIONAL AREA: SOL MINGLANA
(204) 783-8079 email address: eminglana@shaw.ca
WINNIPEG AREA: LOU SUAREZ
(204) 779-5462 email address: genelou@shaw.ca