Registration Form Name of Participant(s) Please complete a separate form for each participant. Address



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ASTIAA Workshop
What’s That You’re Reading?

A continuing education opportunity

Presented by the

AST Integrated Alumni Association


November 3-4, 2016

Registration Form
Name of Participant(s)

Please complete a separate form for each participant.
Address




City
Province
Postal Code
Home Phone
Alt. Phone
Email
Denomination
Year of Graduation
Pastoral Charge/Parish/Ministry
Seminary Attended

AST

Holy Heart

King's

Pine Hill

Other (please indicate which one)
Please indicate any food allergies or medical conditions we should take into consideration when planning the menu







Registration Fee

$285 per person

Registration fee covers two lunches and one dinner

Registration Deadline: October 14, 2016

(A minimum of 50 registered participants is required)


IMPORTANT: This workshop qualifies as continuing education, for those who receive educational allowances.

Payment Methods
Cheque (make payable to Atlantic School of Theology)
Credit Card

 Visa


MasterCard
Card No.
Expiry
Signature
Please complete and return, along with your payment, to:

Mail Atlantic School of Theology

Advancement Office

660 Francklyn Street

Halifax, NS B3H 3B5



Email advancement@astheology.ns.ca

Fax (902) 492-4048

We look forward to seeing you in Toronto!


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