Registration Form for KEMPENFELT
FRIDAY THROUGH SUNDAY, MAY 2-4, 2008

All details, including room locations, passenger and route details will be mailed a week prior to the seminar. Single and double room allocations are subject to availability. A cancellation charge will be levied.

PRINT FOLLOWING FORM AND MAIL TO:
CAREN FELDMAN
42 EDINBURGH DRIVE, TORONTO, ONTARIO, CANADA, M3H 1B4

DEADLINE FOR RESERVATIONS APRIL 18TH

Name (1) ________________________

Name (2) ________________________

Address_________________________________________________________

_________________________________________________________

City__________________________ Prov / St______ Postal / Zip Code______________

Home ( ______ ) _______ - ________________

Cell ( ______ ) _______ - ________________

Work ( ______ ) _______ - ________________

email: ___________________________________ @ ______________________._____

ENCLOSED IS MY CHEQUE / MONEY ORDER PAYABLE TO:

TORONTO FILM SOCIETY ( NO POST- DATED CHEQUES )

For _____Person(s) @ $395 per person/double occupancy.
For _____ person(s) @ $460 per person/single occupancy.

I have a roommate: ____________________________ (name)

Please indicate your room preference:

Smoking _____ Non Smoking _____ No Preference_____

Do you have transportation? ____

Could you provide transportation for others from Toronto? _____

If yes, for how many passengers? _______ Pick Up Point _____________________