36th Annual BC Elders Gathering (Group Registration)

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36th Annual BC Elders Gathering
Hosted by: Sto:lo Nations & Tsawwassen First Nation
July 10, 11, 12, 2012

Deadline to register is June 20, 2012. All cheques must be mailed by June 20 or you may submit the cheque on arrival at the gathering.

If you have any questions at all please contact Melanie Williams at:

Phone: 604.846.4888
Email: [email protected]

Contact Information

Group / Nation / Tribe:

Email address: *

Caregiver(s):

Please use a comma(,) in between names.

Cell Number(s):

Please use a comma(,) in between numbers.

Hotel Name & Phone:

Elders’ Names

1) Full Name:

2) Full Name:

3) Full Name:

4) Full Name:

5) Full Name:

6) Full Name:

7) Full Name:

8) Full Name:

9) Full Name:

10) Full Name:

11) Full Name:

12) Full Name:

Total # of people in your group: *

Health Concerns/Allergies:

Payment Information

Registration Fee is $75.00 per person. Your registration fee includes meals, plus “Bag of Swag” (goodies), plus some tours.

Choose your payment method: *

Submit cheque on arrival

Cheque via mail

Paypal

If you have selected Cheque via mail please make cheque payable to “36th BC Annual Elders Gathering” and send to:

Tzeachten First Nation Governance Office
c/o Melanie Williams,
Unit 29 – 6014 Vedder Road
Chilliwack, BC V2R 5M4
Fax: 1-604-846-4889

Click Submit to complete this form.

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