The Adult Basic Education Association's
Annual Leaders in Literacy Breakfast

Registration Form

Thursday, June 21, 2012 (8:30 am - doors open at 8:00 am)
1 Summers Lane, Hamilton Convention Centre
Keynote Speaker: Local Adult Learners - "From Struggle to Success"
Come and celebrate the accomplishments of our Literacy Award Winners!

Seats are $21 per person or $200 for a table of 10.

Deadline to order seats is June 8, 2012 (space is limited so please register early).

Please note: the ABEA Annual General Meeting will take place immediately following the breakfast. All are welcome to stay for this brief meeting.

If you

• order a table(s) we don't need individual names - you will be seated by agency
• need accommodations please give us your name and the accommodation needed
• order less than a table we need the names of each person attending
  
  

# of seats or # of tables

Select if you are Individual Organization

Organization Name

Contact Name

Contact Email

Contact Phone

Address

Name(s) of those attending (if individual)

Accommodation Needed

Notes/Comments

Please print this page for your records before submitting.

If you do not get a notice of receipt within 5 business days, please contact us at 905-527-2222. You will receive a reminder email prior to the event (we will not be forwarding tickets).

Thank you for your registration!