Lake of the Woods Fitness Seminar
Sunday, October 15, 2017 Kenora

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* 1. Registration Information:

Name

Address

City/Town

Province

Postal Code

Email Address

Phone Number

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* 2. What is your email address? So we can contact you about details about this event.

Address 1

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* 3. Do you have any dietary restrictions?

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* 4. Payment for The Lake of the Woods Fitness Seminar in Kenora. Visa and MasterCard or cheque accepted.
Please leave your name with your credit card number, and expiry date.
If paying by cheque, please print this page and mail in with your cheque payment to 219 Provencher Blvd, Wpg, MB R2H 0G4. Cheque is to be made payable to The Manitoba Fitness Council
Early Bird Registration fee (before September 20th, 2017) $89.25
Regular Registration fee (after September 20, 2017) $99.25