Central Region AOTS Round-Up 2010
April 16, 17, and 18
The Salvation Army Jackson's Point Conference Centre,
1890 Metro Road North , Jackson 's Point, Ontario L0E 1L0
905-722-3501 jpcc@sallynet.org

for office use only
cheque #
Bank
amount$
reg#

Surname___________________________ Given Name ______________________________________________

Street Address ______________________________________________________________________________

Town/City ___________________________________ Prov. ____________________Postal Code ___________

Telephone ( ______ ) _______ - _____________ E-Mail ____________________________________________

Conference _________________________________Home Club _____________________________________

Preference of roommate: (full name) ______________________________________________________________
Special Requirements / Requests in regard to accommodation, food allergies, special diet, Wheel Chair or Walker etc.

REGISTRATION FEE (Check applicable line and circle the Total fee, Indicate you want Friday supper)
arriving for Friday supper
yes or no ?
 
FEE IF ATTENDED PREVIOUS ROUND-UP
SPECIAL FEE FOR
FIRST-TIME ATTENDEE  ever
OCCUPANCY
TYPES

 

Late postmark
after 26th March

Inital
Payment
Balance
Total
Inital Payment
Balance
Total
Double Occupancy   Early Bird
$90
$135
$225
$75
$100
$175
Double Occupancy   Late Registration
$100
$145
$245
$95
$130
$225
Single Occupancy   Early Bird
$120
$140
$260
$120
$90
$210
Single Occupancy   Late Registration
$110
$170
$280
$110
$150
$260
Wife (no Program)   Double Accom)
$80
$85
$165
N/A
N/A
N/A
Youth: 18yrs & Under   Double Accom)
$80
$85
$165
$80
$85
$165
NO REFUNDS for cancellations after April 3rd 2010
 F6
Additional copies of this Registration form at gate.checkpost.ca/aots/

Cheque enclosed for $_________________________Make Cheque payable to � Ontario Roundup 2010 AOTS�

Mail registration to Round-Up Treasurer: Bill Brownlee (705) 472-3226
148 Ivanhoe Drive North Bay Ontario P1A 3B8

FYI Round-up Registrar:.......... Keeling Little Phone (705) 476-1126
185 Pearce St . North Bay Ontario P1C 1H1
Email: kb.little@cogeco.ca
Registration confirmation will follow upon receipt of initial payment � by E-mail if supplied.
The AOTS Men of Manitou Conference are convening the 2010 Central Region Round-Up