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Fall 2010 Waste Minimization Forum Registration

"Turning the Tide"

Please use the form below to register for the Fall 2010 Forum.

Alternatively, you may go to the PDF, print it out, and mail or fax it to us.

Name:

Organization:

Address:

City & Prov.:

Postal Code:

Phone:

Fax:

Email:

Thursday Morning Options:

Tour

Golf

Workshop

Nothing

Will you be attending the banquet (please choose "Yes" for "probably")?

Yes No

Please note any special dietary requirements:

Any other comments? (Important: this is NOT a secure server connection, so please do not submit any credit card information.)

Fees:

SWRC members $150
Non-members $175
Golf $50
Number of Extra Banquet Tickets ($35 each):
(Registration includes one ticket)
TOTAL OWING $

Invoice me OR

Cheque to follow OR

Visa or Mastercard**

**For payment by credit card, please call our office at (306) 931-3242 to provide your card information.

To confirm your registration, type this number into the box below: 1414

By submitting your registration, you agree to have your name, company affiliation, phone number and email address included on the conference delegate list which will be available to each participant.
If you prefer NOT to have your name included on the delegate list, please click here