Bluewater Association for Lifelong Learning

BALL - Ute Busby, Registrar & Membership Chair at Registration Desk
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2012-2013 REGISTRATION FORM

ENTER DATA in fields by pressing TAB KEY after every entry then PRINT this page, "detach form on the right, and mail with cheque".

Please make cheques payable to "BALL".

Mailing Address:
BALL, P.O. 1062, Owen Sound, ON, N4K 6K6

COURSE REGISTRATION POLICIES:
* $10 membership is a prerequisite for courses.
* Registration is for full courses only.
* Refunds permitted only before a course begins.
Guest Pass: (One Free Pass/Member per BALL Year)
* Additional Passes/BALL Year @ $15 Each
* Present a "Guest Pass" at Registration Desk
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2012-2013 PROGRAMME REGISTRATION FORM
NAMES: ADDRESS:
CITY: PROV: P/CODE:
TELEPHONE: () E-MAIL:
Please check 1st Sq. for Name #1 and 2nd Sq. for Name #2 --- Please check sessions you wish to attend and send this form with cheque to the address at the left:
x $10 - 2012-2013 MEMBERSHIPS Renewal New
x $40 - THE WAR OF 1812 - Thursdays 10am - Sep 6 to Oct 11, 2012
x $40 - CRIMINOLOGY - Thursdays 10am - Oct 18 to Nov 22, 2012
x $40 - SILENTS PLEASE - Thursdays 10am - Jan 10 to Feb 14, 2013
x $40 - BUILDING ONTARIO - Thursdays 10am - Feb 28 to Apr 4, 2011
x $15 - GUEST PASS
$ TOTAL
I learned about your program:
From Friends The Internet Brochure Radio TV Other _____________________


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* Registration is for full courses only.
* Refunds permitted only before a course begins.
* If you don't have email, indicate
how would you like to be contacted: __________________________________