Registration Form

Name:___________________________________________________________________________

Address:_________________________________________________________________________

            __________________________________________________________________________

            __________________________________________________________________________

Email__________________________________________________

Phone No:______________________________________________

Alumni Affiliation____________________________________________________________________

If you do not have a alumni affiliation please check this  space......(    )

Hotel Requirement:        ( no)         Please circle one      ( yes)

Hotel rates are set at $119.00 per night for this occasion.

I have already booked accommodations at ( check one)

   (   )  Stage West .905-238-0159 ...1-800-668-9887    contact Mrs. Amy Momm at Stage West

   (   )  Delta Toronto Airport WEST...905-624-1144...1800-737-737-3211  contact Mrs. Anita Bhamra at the Delta

When Booking please quote DCAT Code DRUM at Stage West and Code GRE501 at the Delta to ensure you receive the special rate:

Both Hotels are located at the corner of Dixie Rd.  and Matheson Blvd. at the first set of lights south of the 401 hwy. on the west side.

Weekend events registrations will take place at St. Johns Hall Friday May 3 rd  starting at 5:00 p.m.

For Weekends only

Please Print this form out, complete it and return it with your payment of $85.00 cdn to .....

Mr. Gord Irvine

23388 Highcroft Rd.

Oakville Ontario Canada

L6M-4Y6