
| Name(s): |
| Address: |
| City, Prov. / State: |
| Postal Code: |
| Telephone Number: |
| E-mail Address: |
at [ ]$50 Cdn
Total Enclosed $ __________
Registration includes morning coffee or tea and buffet lunch.
| Send Check or Money order to:
(Made Payable to Canadian Hemerocallis Society) |
416-362-1682 |

| Full Name on Card: |
| Card Number: |
| Expiration Date: |
| Signature: |
| Plant Name (Hybridizer) |
Number of Plants |