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OMLTA NEW USER REGISTRATION

Spring Conference Registration

Complete one registration form per registrant.

Personal Profile

First Name
Last Name
SchoolBoard
E-mail Address
Area of Work
Street
City
Province
Postal Code
Home Phone	( ) -
Business Phone	( ) -

Indicate first, second and third choice for each time block

Block A



Block B



Block C



Block D



Block E



Block F



Block G



Block H



Block J

I will attend the breakfast on Friday morning
YES
NO

Lunch Friday
YES - Regular
YES - Vegetarian
NO

Friday Reception
YES
NO

Saturday Awards Breakfast
YES
NO

REFUNDS / CANCELLATIONS / NSF CHEQUES: Delegates will receive a 50% refund of the registration fee if notification is received in our office via e-mail, fax or telephone message by February 27, 2010. After this date, no refund can be issued unless there are extenuating circumstances supported by written documentation. There will be a charge of $30.00 for an NSF cheque. Please always allow 2 weeks for processing of cheques to avoid this problem.

Member's Area