To: secretary@masonicspringworkshop.ab.ca

Subject: 2011 Workshop Registration

Note: 	Copy this form into your e-mail program.
	Replace the description in the square brackets with your 
	Registration information data. 

Send to <secretary@masonicspringworkshop.ab.ca>

From (Your e-mail - required):          [required-ClientEmail]
Title (Bro, WBro...):                   [01Title]
Full Name:                              [02Name]
Preferred Name for Name Tag:            [03Nametag]
Address:                                [04Address]
City:                                   [05City]
Province:                               [06Prov]
Postal Code:                            [07PostCode]
Area Code & Phone Number:               [08ACPhone]
Rank (MM, PM...):                       [09Rank]
Lodge Name & Number:                    [10Lodge]
Grand Lodge of:                         [11GrandLodge]
Lodge Office (WM, SW...):               [12LodgeOffice]
Grand Lodge Officer:                    [13GLOfficer]
Grand Lodge Office Held:                [14GLOffice]
Non-Smoking or Smoking:                 [15Smoke]
Attend Before:                          [16Attend]

Accommodation Required:                 [17RoomType]
Upgrade:                                [Upgrade]
I'm Rooming With (Brother):             [18Partner]
My Spouse's name is:                    [19SpouseName]
My Great Rate Group is:                 [20GreatRateGroup]

Spouse Friday Dinner ($50):             [LFD]
Spouse Saturday Breakfast ($27.50):     [LSBr]
Spouse Saturday Lunch ($30):            [LSLun]
Spouse Saturday Banquet ($50):          [LSBan]
Spouse Sunday breakfast ($27.50):       [LSunBr]

Special Needs & Commments:              [20NeedsandComments]

If paying by Credit Card, you may add the information here

Pay by Visa or MasterCard:              [Payby]
Name as on Credit Card:                 [CardName]
Credit Card Number:                     [CCNumber]
Expiry Date:                            [Expiry]