2010 CAFCE Conference Registration
 

1. Registration Details

 
Your invoice will be e-mailed to you unless otherwise requested.


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1. First Name

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2. Last Name

3. Title

4. Organization

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5. Street Address or P.O. Box #

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6. City

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7. Province/State

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8. Country

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9. Postal/Zip Code

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10. Telephone Number (including area code, e.g. 999-999-9999)

11. Telephone Extension

12. Fax Number (including area code, e.g. 999-999-9999)

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13. E-mail Address

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14. Membership Type

15. Special Dietary Needs

16. Are you flying into Charlottetown?

Questions? Call Scott Daniels - (902) 457-6375.
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