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GETCA Out of District Delegate Registration Form

Dear Prospective Delegates:

We would be pleased to consider your application to attend the Greater Edmonton Teachers’ Convention in February 2010 if you would do as requested below:

  1. Please ensure that all of the fields on the application form are completed accurately and fully. Failing to do so may delay or cause to cancel your application as an Out-of-District Delegate to the Greater Edmonton Teachers’ Convention. Please note that applicants from the Northwest Territories need not include a membership number.
  2. Provide us with a money order or certified cheque as per the following schedule. Your fee will be dependent on when you post mark your envelope containing the above mentioned application form.
  • $250 per delegate before February 1st
  • $300 thereafter and on-site at the Shaw Conference Centre

 

Delegate Information
First name
Last name:
Title:
Address:
Apartment no.:
Email address:
City:
Province:
Postal code:
Phone number:
Your Teacher Association Name/Number

School information
School name:
School district
School phone number
I have previously attended a GETCA convention.