NEARA Special Event in Nova Scotia

8 - 13 August 2007

Registration Form

(please print)

 

       Only one form is needed per party travelling together

Name:
Address: City:
State/Prov: Zip: Country:

Phone:

Cell Phone:

Email:

.

 

● Number in your party: Adults: ___         Children: ___

.

● Yes, we plan to be present for the NEARA Special Event in Nova Scotia on the following dates (please tick the days):

.

Wed. Aug. 8 ___     Thu. Aug. 9 ___     Fri. Aug. 10 ___     Sat. Aug. 11 ___     Sun. Aug. 12 ___    Mon. Aug. 13 ___

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● We will be travelling to Nova Scotia by the following means (please tick one):

.

By plane and renting a car: ___       By car only (not by ferry): ___    By ferry and renting a car: ___    

By car on the ferry: ___     By ferry on foot: ___

.

● If you indicated travel by ferry, please indicate which ferry:

.

Bar Harbour / Yarmouth: ___     Portland / Yarmouth: ___     St. John / Digby: ___

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● If you are coming by ferry on foot and you want us to arrange your ground transportation, please tick here: ___  

(Note that there will be a small cost, but we won’t know how much until we know how many will need it.)

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● Scan and email to Terry J. Deveau, Event Coordinator: deveau@chebucto.ns.ca

.

● Mail to Terry J. Deveau, Event Coordinator:

Terry J. Deveau, 3 Shore Road, Herring Cove, NS, B3V 1G6, Canada