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Registration Form A ugust 2-5, 2013 Name:          

First Name

Last Name


Maiden name

(If you want it on name tag)


Town/City: Province:   Postal  Code:

Additional  Family  Members First Name

Last Name

Age (if under 18)


Registration is $10.00 per person/family there will be name tags and a Centennial Goody Bag at the Registration Office waiting for you when you arrive. (One bag per $10.00 registration). Mail to: Centennial Registration, Box 59, Vulcan, AB, T0L 2B0. Cheques made out to Vulcan100 Committee.

Registration Form