registration 2013 by JDBmSR3

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									         REGISTRATION FORM: 18TH NATIONAL CONGRESS ON RURAL EDUCATION
                         Rural Schools: Making a Difference
                               MARCH 17-19, 2013 – TCU PLACE – SASKATOON, SK
                                                 PARTICIPANT
Name:
Address:
City:                                            Prov:                  Postal Code:
Home Phone:                            Work Phone:                           Fax:
E:Mail
School Division/Institution:

                   Which Category Most Appropriately Describes your Role? (Check One)

Community Leader          Government Official                   Student              Trustee
Educational Administrator School Council Member                 Teacher              University Personnel
                                             REGISTRATION FEES
                                                                 Quantity    Fee       GST     Total Fee   Amount

Regular Early Bird Congress Registration (BY February 1, 2013)              335.00     16.75    351.75

Regular Congress Registration (AFTER February 1, 2013)                      360.00     18.00    378.00

Presenter Registration                                                      235.00     11.75    246.75

University Student                                                          235.00     11.75    246.75

Extra Banquet Ticket (Monday, March 18th 6:30 pm)                           35.00      1.75     36.75

Pre Congress Workshop (Sunday, March 17th 1:00-4:30 pm)                     60.00      3.00     63.00

                                                                            TOTAL REGISTRATION FEE

PAYMENT: We are not able to accept payment by credit cards
     Cheque/Money Order to be forwarded (Payable to SELU / Saskatchewan Educational Leadership Unit)

        Please send invoice to: ___________________________________________________________
                                ___________________________________________________________
                                ___________________________________________________________
Registration fee includes:
    Sunday 7:00 pm opening presentation by Mark Tewksbury, followed by reception.
    Two breakfasts and luncheons (Monday and Tuesday)
    Banquet on Monday evening with entertainment
    Three keynote presentations and your choice of over 40 concurrent sessions.

                                      Mailing address/ contact information:
                                  Saskatchewan Educational Leadership Unit (SELU)
                                          Room 1257, College of Education
                                      28 Campus Drive, Saskatoon, SK S7N 0X1
                                    Phone: (306) 966-7634 Fax: (306) 966-7916
                  E-mail: selu.info@usask.ca - Website: www.usask.ca/education/ruraled

								
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