Register

You may register for the Western Canada Summer Training Institute by printing and completing the printer friendly copy of the form and mailing it with your registration fee ($450) to: Conciliation Services Canada, 74 Duchess Ave., Kitchener, ON N2M 2K3

- OR -

You can complete the form below and press the "SUBMIT" button to register via email. HOWEVER this will only place your name on the event list, please remember to mail in your registration fee ($450) to secure your place in the program.

Alternatively, if you have on-line banking services, you could pay via Interac. Interac has a safe e-mail money transfer service. If you are interested in how this works, check out their web site at www.interac.ca/consumers/productsandservices_ol_emt.php. In order for Conciliation Services to receive your payment this way, you would need to call Nan Cressman first, or email her at nancressman@sympatico.ca to give her the answer to the security question you would plan to include with your transfer.

Name: *
Complete Address: *
Postal Code: *
Phone:
E-mail: *
Church: *
Accomodation: Indicate if you would like a single or double room, and the dates you will be staying for.
Breakfast: Indicate which mornings you would like breakfast ($8.00).
Supper: Indicate which evenings you would like the buffet supper at Providence ($13.00).
Dietary Restrictions: Please let us know if you have any dietary restrictions.
Code: *