VTAM SAG Registration Form

2011 SAG Registration Form	Program Brochure [541kb PDF]
Required fields marked with *

Personal Information

Last Name:	*
First Name:	*
Previous Surname (if applicable):
Home Address:	*
City/Town:	*
Postal Code:	*

Has your address changed in the last 12 months? If so, please provide your previous address.

Fields marked with ** are only required if any one of them contains information
Previous Home Address:	**
Previous City/Town:	**
Previous Postal/Zip Code:	**

Home Phone:
School/Business Phone:	*
School/Business Fax:
School:	*
School Division/Business Name:	*
School/Business Email:	*
Home/Personal Email:

Memberships and Conference Registration

VTAM Membership Type and Conference Registration:
Full Membership $25 VTAM membership fee $60 registration fee online ($60 registration fee by cheque/cash) Associate Membership $50 VTAM membership fee $60 registration fee online ($60 registration fee by cheque/cash) Retired Membership $0 VTAM membership fee $60 registration fee online ($60 registration fee by cheque/cash) Student Membership $0 VTAM membership fee $60 registration fee online ($60 registration fee by cheque/cash) I do not want to become a VTAM member $0 VTAM membership fee $85 registration fee online ($85 registration fee by cheque/cash) VTAM & TEAM Regular Membership $25 VTAM membership fee $25 TEAM membership fee $60 registration fee online ($60 registration fee by cheque/cash)

VTAM Membership Status:
New Membership Renewing Membership

I have already paid my VTAM membership fee
I am a Student Teacher Candidate
I am a member of the Manitoba Teachers Society

Statistical Survey

I am a Conference Presenter

registration fee waived; please select the sessions you will be presenting

I am a Conference Exhibitor / Vendor

registration fee waived; please select the sessions in which you will be assisting

I am a Technical Vocational Instructor
I am an Industrial Arts Teacher

Information will be used for the purposes of processing your application/registration, mailing VTAM/SAG publications to you, providing VTAM membership privileges, renewing your VTAM membership and generating statistical information related to the administration of the VTAM SAG and the Manitoba Teachers’ Society.

Sessions

Morning Tour - 10:00 am - 11:30 pm / Full Day Tour - 9:00am - 2:30pm

Morning Sessions - 9:00 am to 10:00 am & 10:30 am - 11:30 am

Annual General Meeting - 7:00pm Thursday October 20, 2011

Lunch & Supplier Visits - 11:30 am to 12:30 pm

Afternoon Sessions - 12:30 pm to 2:30 pm

Other

Special Food Requirements:

Payment

Pay with Visa, Mastercard or American Express via PayPal and guarantee a reserved seat in the Sessions you registered for.

Pay through the mail by cheque. A $5.00 processing fee will be incurred and you will not immediately be guaranteed placement in your sessions.