HOME 2011-2012 REGISTRATION FORM ENTER DATA in fields by pressing TAB KEY after every entry then PRINT this page, "detach form on the right, and mail with cheque". Please make cheques payable to "BALL". Mailing Address: BALL, P.O. 1062, Owen Sound, ON, N4K 6K6 COURSE REGISTRATION POLICIES: * $10 membership is a prerequisite for courses. * Registration is for full courses only. * Refunds permitted only before a course begins. Guest Pass: (One Free Pass/Member per BALL Year) * Additional Passes/BALL Year @ $15 Each * Present a "Guest Pass" at Registration Desk

______________________________ Please Cut Here ________________________________________ 2011-2012 PROGRAMME REGISTRATION FORM NAMES: ADDRESS: CITY: PROV: P/CODE: TELEPHONE: () E-MAIL: Please check 1st Sq. for Name #1 and 2nd Sq. for Name #2 --- Please check sessions you wish to attend and send this form with cheque to the address at the left: x $10 - (Renewal) 2011-2012 MEMBERSHIPS x $10 - (New) 2011-2012 MEMBERSHIPS x $40 - PAGING THROUGH THE MIDDLE AGE - Thursdays 10am - Sept. 8 to Oct. 13, 2011 x $40 - STORIES IN OUR LIVES - Thursdays 10am - Oct. 20 to Dec. 1, 2011 x $40 - CHANGING WORLD ORDER - Part II - Thursdays 10am - Jan. 12 to Feb. 16, 2012 x $40 - LANDS FOR THE FUTURE - Thursdays 10am - Mar. 1 to Apr. 5, 2012 x $15 - GUEST PASS ----> TOTAL $ I learned about your program: From Friends The Internet Brochure Radio TV Other _____________________ ______________________________ Please Cut Here ________________________________________ * Registration is for full courses only. * Refunds permitted only before a course begins. * If you don't have email, indicate how would you like to be contacted: __________________________________