REGISTRATION FORM

All costs are in Canadian dollars.
It is an excellent time and value to travel to Silver Glen Art Holidays in beautiful Nova Scotia, Canada.
$1.00 U.S. is usually worth approximately $1.50 Canadian. Contact your bank for the current exchange rate.
You can also use an online currency converter like: http://www.xe.com/ucc/


Workshops fill very quickly and early registration is recommended.

To register by phone using Visa or MasterCard, call 902-867-1123 or toll free at 1-800-778-4278
You may also register by fax at 902-867-1840
Or with a check by mail to: Silver Glen Art Holidays, P.O. Box 1206, Antigonish, Nova Scotia, B2G 2L6

Name:
Email:
Address:
City:
State / Province: Zip / Postal Code:
Telephone: (Home): (Work): Fax:
I am a beginner more advanced over 35 under 35

COURSE NAME
INSTRUCTOR
DATES
TUITION
DEPOSIT

Refer to the "Workshop Schedules" for the dates, tuition, instructor's biographies, and course descriptions for each workshop.

A deposit is required with each registration. Full refunds will be given if you cancel your registration more than 30 days prior to each workshop. If you cancel your registration within 30 days of the workshop than the deposit is non-refundable. Silver Glen Art Holidays reserves the right to cancel workshops at any time and for any reason. In the unlikely event that Silver Glen Art Holidays cancels a workshop, then all tuitions, fees, and deposits will be refunded. Silver Glen Art Holidays is not responsible for any expenses incurred for canceled travel arrangements.
Please Note: We cannot be held responsible for providing make-ups or issuing refunds or credits for workshops missed as a result of you having illness, emergencies, or other events beyond our control.

Weekly workshops registration / check-in Sunday 1pm - 4pm
Weekly workshops check-out Saturday 8am - 11am

I will be arriving by car
Workshop(s) Tuition: $
(or) I require transportation from Halifax Airport
Materials fee(s) (if applicable): $
My flight arrives in Halifax on (date) at (time)
Non-refundable registration fee: $ 20.00
On (airline) Flight #
Meals (at Silver Glen): $
 

Accommodations (at Silver Glen): $


Refer to the "Additional Costs" page for information on meals,
accommodations, transportation, and entertainment.
Halifax Airport shuttle: $
Both Canadian and Non-Canadian visitors to Nova Scotia can get tax rebates.
Subtotal: $
For further information on tax rebates, contact CCRA toll free at 1-800-959-8281
15% tax: $
Or visit their website at www.ccra.gc.ca request information / form GST 176 for
Total: $
Non-Canadians or information / form GST 495 for Canadians.
Deposit (20% of total): $
Balances must be paid in full no later than 30 days prior to each workshop.
Balance: $

Signature: _____________________________________ Date:


Payment by Check or Money order:
Print this order form by using the print option in your browser.
Please mail your payment to the address listed above.
We will confirm your registration via email.

For further information call us at 902-867-1123 / toll free at 1-800-778-4278
or email us at: info@silverglenart.com