SCCA EASTERN REGIONAL MEETING 2000

REGISTRATION FORM

Please Use One Form Per Person

GUEST INFORMATION Please Print Clearly

First Name ...........................……............ Last Name: .................................……........ Honours. ……………

Address .....................................………………………………........................................

City …………..................................................... Prov./State ................. Postal Code …......................

Ctry ........................................................…….… E-Mail .......………….………………..........................

Area Code # ………... Home # …….....…..…….…… Work # ..……….…................ Fax # :..….………............

Are you a Member in good standing of the SCCA? Yes [ ] No [ ]
Will you attend the Annual General Meeting? Yes [ ] No [ ]

REGISTRATION FEES Please read completely before filling in any blanks.

Registration for Saturday, June 24^th and/or Sunday, June 25^th $10 Canadian per person $........

Bus Tour, Citytv, MZTV Museum, IMAX 3D at Paramount, $20 Canadian per person $........
(The Bus Tour Fee is in addition to Registration, which must be paid by those on Bus Tour)
Total ($10 or $30) $…....

There will be an optional cruise on the Kajama, weather permitting, with an additional fee
of $16.95 ($14.95 Seniors), payable to the cruise operators before boarding.
Reservations will be made Sunday Morning by telephone.

Please return this application form with payment to:     CAROLYN BRIGGS
Payment accepted in Canadian funds only.                                  3 Wardrope Avenue South
Personal or company cheque (Canada only.)                               Stoney Creek, Ontario, L8G 1R9
International Money Order (outside of Canada.)                            CANADA
(Please make cheques payable to SCCA.)
If payment covers more than one application form, please staple payment to forms.

VISA …... MC ….... # .............……...………….............. Exp ...……........

Name as it appears on Card ..........…….……....…………............ Signature...............................………........

SOCIETY of CANADIAN CINE AMATEURS

for Amateur, Student, and Professional Film and Video Makers

SCCA EASTERN REGIONAL MEETING 2000