SCCA 2001 CONVENTION REGISTRATION FORM

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CONVENTION 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 [ ]
Will you be staying at the Stone Gate Inn in Orillia? Fri. [ ] Sat. [ ] Sun. [ ] No [ ]
Please make Hotel Reservations Directly with Hotel (1-877-674-5542). Rooms will be held till September 15^th.
Be sure to mention the SCCA Convention for the most favourable rate.

REGISTRATION FEES Please read completely before filling in any blanks.

Registration for Friday, October 26^th
Afternoon Tour –Huronia Museum/Ouendat Village,
and Ste. Marie Among the Hurons $12 Canadian per person$......…

Evening – Barrie Film Festival, Evening Gala Party $13 Canadian per person $......…

Registration for Saturday, October 27^th
All Day Trip to Highland Theatre, Kinmount, Ontario, Box Lunch $25 Canadian per person $……..

Registration for Sunday, October 28^th
Barrie – MacLaren Arts Centre – Directors Brunch with Mark Starowicz & Michael Sweeney
CIAFF Awards Presentation $15 Canadian per person $……..

Total (per person) $………

OR, Registration for All the Above, before October 12^th $55 Canadian per person $……...

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 2001 CONVENTION REGISTRATION FORM