Registration Form for 2008 Eastman House Visit
SUNDAY AUGUST 3RD AND MONDAY AUGUST 4TH, 2008
_________________________________________________________________
Name (1) ________________________
Name (2) ________________________
Address _________________________________________________
________________________________________________________
City Province / State _______ Postal Code / Zip Code _____________
Home ( _______ ) _______ - __________
Cell ( _______ ) _______ - __________
Work ( _______ ) _______ - __________
Email: ____________________@______________ . _______
Payment is enclosed for $ _______ Person(s) @ $120 / person
Enclosed is my Cheque / Money Order Payable to Toronto Film Society (Please No Post Dated Cheques)
PRINT ABOVE FORM AND MAIL TO:
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Mail to: |
Caren Feldman 42 Edinburgh Drive Toronto, ON, Canada M3H 1B4 |
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