Convention Registration Form
Canadian Society of Dowsers
2004 Convention Registration Form
Print form and Mail to:
The Canadian Society of Dowsers, Suite 152, 7 - 800 Queenston Road, Stoney Creek, ON L8G 1A7
PLEASE PRINT
Name: (Mr. Mrs. Ms Dr.) _______________________________________________________________________
Address: ____________________________________________________________________________________
City/Province ________________________________________________Postal Code ______________________
Phone: day ( ) _______________ E-mail: __________________________________________________________
In case of emergency contact: ____________________________________________Phone _________________
ANNUAL CONVENTION: Friday June 18 - 6:00 pm to Sunday June 20, 4:00 pm
Entire Convention:
Members ___ $110 (before June 1) ___ $125 (after) Non-members ___ $140 (before June 1) ___ $155 (after)
Friday night only (includes refreshments): ___ $25
Saturday only (includes lunch and supper): ___ $85 Non-members ___ $115
Sunday only (includes lunch): ___ $50 Non-members ___ $80
PRE- & POST-CONVENTION DOWSING SCHOOLS & WORKSHOPS:
#1 Basic Dowsing School - Friday June 18 - 9:45 am to 4:30 pm (Note: On-Site Registration at 9:15 am)
Members ___ $60 (before June 1) ___ $80 (after) Non-members ___ $90 (before June 1) ___ $110 (after)
#2 Advanced Dowsing School - Friday June 18 - 10:00 am to 4:45 pm (Note: On-Site Registration at 9:30 am)
Members ___ $60 (before June 1) ___ $80 (after) Non-members ___ $90 (before June 1) ___ $110 (after)
#3 Pre-Convention Workshop - Dowsing: How Earth-Mind Consciousness Works
with Frank Jordan. Thursday June 17 - 9:00 am to 4:30 pm (Note: On-Site Registration at 8:30 am)
Members ___ $95 (before June 1) ___ $110 (after) Non-members ___ $125 (before June 1) ___ $140 (after)
#4 Pre-Convention Workshop - Spatial Attunement - Principals and Practice of Earth Acupuncture and Applied Sacred Geometry
with Dr. Patrick MacManaway. Friday June 18 - 9:00 am to 4:30 pm (Note: On-Site Registration at 8:30 am)
Members ___ $95 (before June 1) ___ $110 (after) Non-members ___ $125 (before June 1) ___ $140 (after)
#5 Post-Convention Workshop - Living in the Sacred Circle of Unity
with Frank J. Austin (Manyhorses). Monday June 21 - 9:00 am to 4:30 pm (Note: On-Site Registration at 8:30 am) $10 Materials fee
Members ___ $95 (before June 1) ___ $110 (after) Non-members ___ $125 (before June 1) ___ $140 (after)
MEMBERSHIP:
Membership Fees
Individual: $30 (U.S.A. - US$25 or CDN$38, International - CDN$40)
Individual 3 year: $75
Family (max. 3 names, same address): $45
New CSD Membership: $____*
Renewal Dues: $____*
JOIN NOW AND RECEIVE THE MEMBERS' DISCOUNTS FOR ALL CONVENTION EVENTS!!
Complete the Membership/Renewal Application.
Current Members please note: Annual Memberships expire May 31st, 2004 - it is time to renew!
* Print, complete and include Membership Form with this Registration Form.
TOTAL FEES: (Canadian Funds only)
____ cheque (enclosed) made payable to Canadian Society of Dowsers
____ charge my VISA # _____________________________________________ expiry date _________
Signature __________________________________________________________
Refund Policy: Cancellations before June 1 receive a full refund less a $10 processing fee. After June 1, the processing fee is $20.
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