Nov. 18, 2010
Registration
 

 
Religious Leaders Forum Queen's Park

*  Your email address:
    00-Salutation:
*  01-FirstName:
*  02-LastName:
    03-Street:
    03-Street2:
    04-City:
    05-Province:
*  06-PostalCode:
    07-Phone:
    10-Organization:
    11-Religious Community:
    12-Riding:
*  Enter the security code shown:


If you register by email or mail, remember to send us a cheque to cover costs. $40 (includes lunch).
Please make cheques payable to:
WLS—ISARC

Mail to:
 Religious Leaders’ Forum Registrar
ISARC
P.O. Box 25067 - SDM
Kitchener, ON N2A 4A5




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