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The Literate Child

Calgary, Alberta - Friday, November 13th

A minimum number of participants is required to make this workshop a go, so if you have intentions of attending, 

PLEASE pre-register to ensure the success of this special event!

Thank you for your interest and support of U Otter Read It Workshops.

Fill in the form, and mail, with payment (cheque or money order only, please) to:

U-Otter-Read-It

11 Miller Place

Spruce Grove, Alberta, T7X 2N1

 

or Fax 780-962-9882

(*required fields)

Name*

Title

Organization*

Work Phone*

Street address*

Address (cont.)

City*

Province *

Fax  

Postal code*

Grades Taught

E-mail*

BILLING information: (if different than above. Invoices will be issued to schools only. Receipts will be provided at the workshop, unless otherwise requested.)

Purchase order #

Bill To*

Street address*

 Address (cont.)*
City* Province *
Country* Postal code*
EARLY BIRD before October 15th *$195 x = + GST =
AFTER OCTOBER 15th *$250x = + GST =
Special Request / Information (eg: dietary)
Method of Payment

Visa      MasterCard     Purchase Order     Personal Cheque

Name on credit card

Number Expiry Date / 20

*Includes $30.00 non-refundable registration fee, plus lunch, and all beverage breaks. 

OR

Print this Form, and Fax 780-962-9882 or pay online