REGISTRATION FORM
NORTHERN LIGHTS
Haiku Canada Weekend 2008
May 16-18, 2008
Carleton University, Ottawa, Ontario
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Early Registration
($30) BEFORE April 15, 2008
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Late Registration
($35) AFTER April 15, 2008
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Banquet
($30)
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TOTAL
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SEND CHEQUE OR MONEY ORDER PAYABLE TO “HAIKU
CANADA”
AND MAIL IT WITH THIS FORM TO:
Claudia Radmore, 49 McArthur Avenue, Carleton Place ON
K7C 2W1
PLEASE
PRINT CLEARLY
Name:
_________________________________________________________
Address:
_________________________________________________________
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Telephone:
_________________________________________________________
Email:
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