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REGISTRATION FORM DISTINGUISHED SPEAKERS PROGRAMME Autumn Conference 2013 FRIDAY, OCTOBER 4, 2013

FIVE PRACTICAL WORKSHOPS IN LISTENING AND SPOKEN LANGUAGE DEVELOPMENT

Distinguished Speaker

DAVE SINDREY
M.Cl.Sc., LSLS Cert. AVT
For: Audiologists, Speech-Language Pathologists, Listening and Spoken Language Specialists, Teachers, CDAs, Hearing Health Professionals, Professional Students and Parents Venue: Memorial Hall, North York Civic Centre, Toronto, Ontario Time: Cost: Registration from 7:45 am Professionals Advance: Door: $275 $325 Conference sharp 8:45 am Students and Parents Advance: $175 Door: $225 Lunch on your own at

Refreshments included the venue Registration Information: Name Address Phone E-mail Place of Employment Current Position Date Today Signat ure

PLEASE MAIL CHEQUE IN CANADIAN DOLLARS MADE PAYABLE TO WE LISTEN INTERNATIONAL INC. BY SEPTEMBER 27, 2013 *WE Listen International Inc. is a certified provider of CEUs for the A. G. Bell Academy

++Certificates and Receipts issued electonically immediately following the conference