Skip to content Skip to footer

Registration Information

Early Bird Registration Fee: $100.        After October 1, 2023:  $125.

Student Early Bird Fee: $50.               Student Fee After October 1, 2023:  $75. 

Open a printable registration form here 

Mail the registration form and your cheque to:

Siloam United Church
1240 Fanshawe Park Road East,
London, ON N5X 3Z8

Make cheques payable to:

Siloam United Church – please note on memo line DIANA BUTLER BASS.

Any questions call us at 519-455-9201.

complete the online form below
Thank you and we look forward to seeing you in November!
Individual and group photos may be taken throughout the event. By indicating yes, you agree to the use of your image for promotion and display purposes for the Diana Butler Bass event. By indicating no, you agree to advise those recording your image of your desire not be included.
Vegetarian selections will be amongst the items being offered. Please indicate if you require gluten-free meal:
$ 0.00

Leave a comment