Company Registration Form

Group Name:______________________________________________________________

Advisor's Name:____________________________________________________________

Advisor's Address:__________________________________________________________

________________________________________________________________________

Advisor Number:___________________________________________________________

Advisor Email: ____________________________________________________________

Number of Youth Attending:__________________________________________________

Number of Advisor's:_______________________________________________________

Youth Contact:____________________________________________________________

Youth Contact Phone Number:_______________________________________________

You Contact Email: ________________________________________________________

THERE ARE SEVERAL WAYS TO REGISTER. PICK ONE....

By snail mail: Copy the above registration form and then print it out on your computer (directions below). Then send it to the Jason Toner at the address below with a $25.00 pre-registration cheque. Once your registration is recieved, your cheque will be cashed and we will send you a registration package through the mail.

Electronically: Copy the above registration form (directions below) and type the appropriate information in the blanks, then email it to the email address below. Once your emailed registration is recieved, we will send you a confirmation letter to notify you that your registration has been recieved. You then need to send a $25.00 pre-registration cheque in the mail to the address below. Your spot will be reserved for twenty-one days, and if your cheque is not recieved by then, your registration will be thrown out. Once we recieve your cheque, we will send you a registration package in the mail.

By phone: Call the number below and you will be asked to give the above information. Once your registration has been confirmed by phone, you are expected to send a $25.00 cheque within twenty-one days, or your registration will be thrown out. Once your cheque is recieved, we will send you a registration package through the mail.

INSTRUCTIONS FOR COPYING

To send in this form,
1) Simple highlight the form by click and draging
2)
Right click on the highlighted area
3) Select
copy
4) Minimize you internet window and open a word processor
5)
Right click on the blank page and then select paste
6) Then just use the word processor to print the form

Mailing Address: Genesis Venturee
                           c/o Jason Toner
                           3523 St. Clair Parkway
                           Sombra, Ontario
                           N0P 2H0

Email Address: genesis_ii@hotmail.com
                                      or
                    far_4m_normal@hotmail.com

Phone Number: (519) 892-3403

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