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CANADIAN WATER FORUM

Date: Monday, June 9, 2008

Time:  5:30 - 7:30 PM

Location: Gordon Biersch Brewery & Restaurant
                 848 Peachtree Street NE Atlanta GA

TICKETS @ $40.00 EACH  

indicate quantity requested

 10 TICKETS @ $400 
Purchasers of 10 or more tickets will receive recognition at the event.  
Deadline for sponsors is May 12

   Cheque

   Visa 

   MasterCard

   Please Invoice

Name:    

Company:

Mailing Address: 

City:    Province:       Postal Code: 

Phone:    Fax: 

Email: 

For Payment by VISA or MasterCard only:  

Card Number:     Expiry Date: 

VISA Cardholder Name:  

Signature:

Payment may be made by VISA, Purchase Order, or Cheque, payable to:

WCS AWWA

Box 1708 Cochrane AB T4C 1B6

This form must be Printed and Faxed or Mailed. fax - 1-877-283-2007

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Revised: 21/04/2008