FIRST AND LAST NAME
PREFERRED NAME ON YOUR NAME TAG
CLUB AFFILIATION AND POSITION (if any)
STREET ADDRESS
CITY; PROVINCE or STATE; POSTAL or ZIP CODE
TELEPHONE NUMBER
EMAIL ADDRESS
OPTIONAL TOUR TO STEPHAN G STEPHANSSON HOUSE & TOWN OF MARKERVILLE:
Interested in a tour leaving Sunday morning for Markerville with a tour of Stephan G Stephansson’s house and the town of Markerville? This optional tour will leave from the hotel at 8:30 am and return by 4pm; guided by the Stephan G Stephansson Icelandic Society (SGSIS) the tour will visit Stephansson House, a Provincial Historic Site, and the hamlet of Markerville, AB, for a Scandinavian cuisine luncheon served in Fensala Hall. Following lunch, tour Historic Markerville’ s Creamery Museum, the Lutheran Church and the Buttermaker House. If time allows, a stop will be made at the Tindastoll cemetery. A minimum of 48 people are needed for the tour to run. The cost for the bus trip, tour and lunch will be $55 per person. In the event the tour does not run, an email will be sent asap to those who have signed up and money will be refunded at the Convention.
SPECIAL DIETARY NEEDS OR ALLERGIES (we will try to accommodate your needs as best we can with the hotel):
A list of convention attendees may be provided to those who attend. Would you like us to include your name and contact information in such a listing? Yes __ No __ (please X one)
Conference registration includes the Thursday evening registration and social event, the Friday evening INLNA Awards Ceremony and entertainment, breakfast, lunch, and two coffee breaks on both Friday and Saturday, all speakers Friday and Saturday and the Saturday evening Gala Dinner. Registration does not include your hotel room. Hotel reservations are made by calling 780-484-0821 and using the Convention code ICE or via this link http://doubletree.hilton.com/en/dt/groups/personalized/Y/YEGNMDT-ICE-20180426/index.jhtml?WT.mc_id=POG.com (Book by April 9/18 to receive the Convention rate)
ALL FUNDS ARE CANADIAN DOLLARS
REGISTRATION FEE:
•  Early (Postmarked or submitted by February 28/18)
•  Regular (Postmarked or submitted by March 28/18)
•  Late (after March 28/18) / Early: $ 190
Reg.: $ 210
Late: $ 225 / Amount Paid: $
ADDITIONAL SATURDAY GALA DINNER TICKETS:
Dinner will be a four-course plated meal. Number of additional tickets requested (1 ticket is included in your registration) ____ / $75 each / Amount Paid: $
PRE-PURCHASED 50/50 RAFFLE TICKETS *
Number of tickets requested (given to you when you arrive) ____ / $5 each or 5 for $20 / Amount Paid: $
DONATIONS:
Registration fees cover only part of a convention’s costs. Corporate and individual donations help make these events possible and your donation will be put to good use. Would you like to be recognized as donor in our program? Yes ___ No ___ (please X one) / Amount Donated: $
OPTIONAL TOUR TO STEPHAN G STEPHANSSON HOUSE & TOWN OF MARKERVILLE:
Includes transportation,Stephansson house admission, tour and lunch / $55 each / Amount Paid: $
Thank you very much.
We look forward to welcoming you to Edmonton! / Total Amount Enclosed: $
OPTIONS FOR PAYMENT:
1.  Print and pay by cheque or money order:
Please make cheques or money orders (in Canadian funds) payable to The Icelandic Canadian Club of Edmonton and mail this form and your payment to:
GLORIA KRENBRENK
# 515, 10160 114 Street, NW
Edmonton, AB T5K 2L2
2. Credit card or PayPal: Please enter your paypal payment confirmation number here and email registration form to mail to
For information about registration or the convention in general, please contact Bev Arason-Gaudet, ICCE Convention Chair at .
Information about this convention can also be found on the 2018 Convention Page at www.inlofna.org and the ICCE website at www.iccedm.org

*50/50 Raffle Tickets:

50/50 tickets will be pre-sold during registration and sold throughout the Convention. If you are unfamiliar with 50/50 tickets, this is how it works: the prize in a 50/50 is 50% of the money taken in by the raffle ticket sales, the remaining 50% will be retained by the ICCE. A person can purchase as many tickets as they want and each ticket purchased equals one entry in the drawing for a winner. The winning ticket will be drawn after the Gala Dinner on Saturday evening. The greater the number of tickets sold, the greater the cash prize!