One person per form please.  Cheques can be made out for multiple registrants.
(For best results, you may want to fill out this form before printing)  

   
First Name                                                  Last Name 


Address  

     
City                                                                                                   Province 


Postal Code 


Phone Number 


Email Address  

Package Choices

Registration deadline May 16/12

DAY ONE IS FULL.

Day Two    May 27      $40
        


Method of Payment

Cheque  (payable to Dorion's Canyon Country Birding Festival)