Registration Form
Sullivan Forum '99 
June 14 & 15/99
Sponsored by: Malaspina University-College
Faculty of Education

Print this page from your web browser. 
Mail your registration by May 28, 1999 to the address noted below.

Name (Last/First/Initials)
Institution/Organization
Mailing Address
City	Country
Postal/Zip Code
Work Phone	Home Phone
E-mail Address

Conference Fee
Please check off which items your cheque to Malaspina University-College will cover:

  $100 - Full Conference
  $50 -- Student
 
 

Total amount enclosed: $_______________
(make cheque or money order payable to Malaspina University-College)

Please mail this registration form to

Sullivan Forum '99
c/o Darlene Higgins
Education Department
Malaspina University-College
900 Fifth Street
Nanaimo, BC
V9R 5S5

See you in June!. 

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