Location:   Yonge Street & Davisville Avenue area  (subject to possible change)
Time:        Saturday:  10 - 6        Sunday:  9 - 5
            PLEASE ARRIVE A HALF HOUR EARLIER TO COMPLETE REGISTRATION

Cost:      Before September 30th:
                    Toronto Dowsers members:   $240  ____
                    Non members:                     $260  ____
                    Level I only (everyone)         $140  ____

              October 1st or later:
                    Toronto Dowsers members:    $260 ____
                    Non members:                      $280 ____
                    Level I only: (everyone)         $160 ____

A minimum deposit of $100 is required to hold your place.
Please complete and mail in with your deposit, or, payment in full. PLEASE PRINT CLEARLY.

Name:  _________________________________________________________________________

Address: ________________________________________________________________________

City, Province, Postal Code:  ________________________________________________________

Telephone: ____________________________     email address: __________________________

Amount enclosed:  $_______       Check / M.O.:  ____      VISA:  _____      MasterCard: ____

Credit Card Number:  _______________________________    Expiration Date: ____________

Signature: _________________________________

  INFORMATION ON PAYMENT:   Make checks out to:   MARILYN GANG
  Please fill in your registration form, send it with your deposit (or payment in full):
        Marilyn Gang
        #816 - 225 Davisville Avenue
        Toronto, Ontario  M4S 1G9