2008 Conference Registration Form

Growing Attachments with Deborah Gray
May 5, 2008
Hilton Garden Inn
Saskatoon, Saskatchewan

Attention: Areas marked with a red asterisk are required fields

Contact Information

Full Name: *

Address Street Address*
Address continued
City*
Province*
Postal Code*

Phone *

Fax

Membership Information

Membership benefits include: full ASCS library privileges, bimonthly magazine Adoption News, conference and workshop discounts and much more!

I am an ASCS MemberI am not an ASCS MemberI am purchasing an ASCS membership with my conference registration*

Registration Information

Payment Method

The "Invoice to Third Party" option is only available to professionals who will be billing through their agency. Please provide correct "Billing Information" below.

Payment to Follow via MailInvoice to Third Party *

Payment Amount

Canadian Funds

$110.00 ASCS Members $140.00 Non-Members $25.00 ASCS Membership*

Payment Instructions

If Payment Method is "Payment to Follow via Mail", then please mail your payment to:

Adoption Support Centre of Saskatchewan
305 - 506 25th Street East
Saskatoon
Sask. S7K 4A7

Or this form can be printed and faxed to the ASCS office at (306) 665-7274.

Please Note: We cannot accept payment by credit (i.e. Visa, Mastercard, etc.)

Billing Information Agency Name
Contact Name
Address

Phone

Fax

Thank You!

Upon receipt of your registration you will receive a confirmation number within five business days.

If you have any questions, please call ASCS at (306) 665-7272 or toll-free at 1-866-869-2727.

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