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Registration Costs
Earlybird Prices
Single Registration	$75 per person
Couples Registration	$140 per couple
Small Group Discount(5-10 couples) *	$125 per couple
Large Group Discount(11+ couples) *	$117 per couple
* Group Discounts only apply when registered and paid in a single transaction
Deadline for Earlybird Specials and Refunds	October 15, 2010
Regular Prices
Single Registration	$90 per person
Couples Registration	$170 per couple
** Group rates will no longer be available after the Earlybird deadline **

Couple #1
Husband's Name:	Wife's Name:
Last Name:  *
Address:  *
City:  *	Province:  *	Postal Code:  *
Phone Number:  *	Email:
Position(s) / Title(s):

Couple #2
Husband's Name:	Wife's Name:
Last Name:  *
Address:  *
City:  *	Province:  *	Postal Code:  *
Phone Number:  *	Email:
Position(s) / Title(s):

Couple #3
Husband's Name:	Wife's Name:
Last Name:  *
Address:  *
City:  *	Province:  *	Postal Code:  *
Phone Number:  *	Email:
Position(s) / Title(s):

Couple #4
Husband's Name:	Wife's Name:
Last Name:  *
Address:  *
City:  *	Province:  *	Postal Code:  *
Phone Number:  *	Email:
Position(s) / Title(s):

Couple #5
Husband's Name:	Wife's Name:
Last Name:  *
Address:  *
City:  *	Province:  *	Postal Code:  *
Phone Number:  *	Email:
Position(s) / Title(s):

Payment
	Please call the NAME Canada office with your payment details once you have submitted your registration.

For more information please call 780-438-2526
or Toll-Free 1-866-449-1500 (outside Edmonton Area)