Event Registration Form

Reconcili-Action Conference

Continuing the Journey

Friday February 27, 2026

8:30am-4:30pm

Portuguese Club - Leamington ON

Conference fee: $100.00 per person

Breakfast and Lunch provided

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* 1. Name:

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* 2. Email and Phone Number:

Email address:

Phone number:

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* 3. Company/Organization:

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* 4. How many people will be attending?

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* 5. Names of attendees:

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* 6. Will your organization be setting up an Information Booth?

Yes

No

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* 7. What is your method of payment choice?

Cheque

E-transfer

Cash