REGISTRANT INFORMATION Given Name:  Required Surname:  Required Address:  Required City:  Required Province / State:  Required Postal Code:  Required Country: Telephone:  Required, Formatted as (000) 000-0000 Email:  Required	PREFERENCE OF TOPICS 1A 1B 1C 2A 2B 2C 3A 3B 3C 4A 4B 4C 5A 5B 5C 6A 6B 6C 7A Ancestry Friday
SPOUSE INFORMATION (if applying) Given Name: Surname:

REGISTRATION

Number of Persons  @  $150.00  x

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GALA BANQUET: Saturday May 19 - Hotel Omni Mount Royal

Registrants must apply for tickets if they wish to attend. Seating is limited.

$75.00  x

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MEALS - McGill University New Residence Hall

Lunch Saturday  @  $25.00  x		=
Lunch Sunday  @  $25.00  x		=

SEND REGISTRATION and CHECKOUT WITH PAYPAL

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