Southern Ontario Library Service

Advanced EXCEL Program

Advanced EXCEL Program

Registration Form 2

Winter 2009
From February 9 to March 27,  2009

Registration deadline Monday, January 26, 2009 at 5 p.m.

Semester:  Winter 2009                Program:    Advanced EXCEL Program

Please provide the following information:

First Name:   Initials:

Last Name:

Library:

Position held:  CEO    Branch Head   Other library staff Volunteer

Are you an EXCEL graduate?: 

Library address:   Postal Code:

Courier Route:

Personal address:   Postal Code:

Telephone:  Home   Library:   Fax:

E-mail:

Total course fees:                                     
Total GST:                                                 
Total payment:                                         

Register by fax :

613-260-2503 (please call first)
For more information call: Diane at 613-260-2503 or 1-866-304-7988 (toll-free)

Method of payment:

By cheque:               By credit card:                 SOLS to invoice Library 

• By credit card (VISA, American Express & Master Card are accepted)
  To give your card number, please  call:  Diane Lozanski, at: 260-2503 or toll-free 1-866-304-7988.
• By cheque payable to: Southern Ontario Library Service -- 111 Peter Street, Suite 902, Toronto, ON M5V 2H1

• SOLS will, upon request, invoice the Library for the registration fee. 

Receipts:

Do you need a receipt for reimbursement from your Library Board? Yes         No
Or,
If you are paying for the course yourself, and the library is not reimbursing you, do you need an Income Tax receipt?  Yes      No