2017 National Conference Registration Form - ACW Anglican Church Women of Canada

The National ACW Presidents’ Conference Registration Form 2017
Theme: The Love of Jesus Calls Us to Learning, Worship and Service
All Diocese Presidents/ coordinators arrive on the June14th and we have our National Conference meeting on the June 15th, 2017
CONTACT INFORMATION
Name:                                     Diocese:   ______
Address:
Postal Code:
Home telephone:                            Cell:
E-mail address:
Anglican Church Women position in your Diocese:
Emergency Contact: Name:
Telephone Home:                                               Cell:

NEEDS INFORMATION
Do you have dietary restrictions or allergies? Yes or No
                                                               Specify
Do you have mobility requirements?               Yes or No
Specify

ACCOMMODATIONS @ Redeemer University College, Ancaster Ontario(Diocese of Niagara)
        Room info: ALL ROOMS ARE SHARED ACCOMMODATION -
   Date arriving:                      Arrival time: _

TRAVEL -
You will travel to (Circle as appropriate) Hamilton _or Toronto(Pearson)
Train _Bus Car
Things to know:*
·         Arrangement of flight/transportation to and from the conference is the responsibility of each person attending. If you require assistance with making arrangements, please contact our National Treasurer – Joanna Muzyka

·         Make every effort to secure a flight that is cost effective – economy/entry level priced ticket.

·         Any Additional charges incurred i.e. Higher Flight Category, Travel Agency Fees, Travel Insurance, Pre-Seat Selection etc. are personal choice fees and are your own, National Does Not cover these costs. Please Do Not Bill any extra cost to the National ACW

·         National will cover the return cost of (1) suitcase for registered Diocese President/Coordinator attending a National ACW conference.

Transportation from airport on arrival, and to airport on departure will be arranged.

Airport you depart from:                    time of departure:

Arrival @ _   Date:                  Airline:
Flight#:                    Time:

Departure Date:                                                  Airline:
Flight#:                             Time:

REGISTRATION FORM AND FEES

1.       Diocesan Presidents and Coordinators          $1200( if attending National Gathering extra $100.00)= $1300.00 (includes travel, accommodation and meals at conference)

                                                               National President Annual travel contributions(from your Diocese)          $100

                                                                                                                                                Total fee               $1400

2.       Vice Presidents    $500.00 (Does not include travel, does include accommodation and meals at conference)

Once you have completed your registration Please make a copy:

*Send One Copy of the Registration, Conference Fee, and Travel Arrangement Receipt to:
         Joanna Muzyka, National Treasurer
         Box 725
         Boyle, AB, T0A 0M0
Make Registration Fee cheque ($1400 or $500) payable to"National Anglican Women's Board"
(in the memo line, include your name and name of your Diocese)

NOTE: If your registration fee is being sent separate from your conference registration and travel receipts you will not be reimbursed for your Travel Reimbursements until registration fees are received by Joanna. Should you have any questions regarding travel and reimbursements please contact Joanna joannamuzyka@hotmail.com or Tel: 780-689-4326 or 780-689-8053
AND
Send One Copy of the Registration and Travel Arrangement Receipt to:
Please Mail    1 & 2 pages" Registration Form" to:
            Name:                      Marion Saunders
                Mailing Address: 82 Foster Creek Drive, Newcastle Ontario L1B - 1G5
                       Email address: mares@idirect.ca
                         Phone: 905 -439-2728:

PLEASE RETURN REGISTRATION FORM & FEES BY April 30th, 2017**