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Print and Fax this registration form to 1-877-283-2007

For additional information call  (877) 283-2003 or 403-709-0064

Regina YP AWWA Networking Event Registration

Date: Thursday, May 29, 2008  
Location: Beer Bros Bakery & Cuisine 1801 Scarth St, Regina, SK

  $ 15 AWWA Members (includes GST)

  $ 20 Non members (includes GST)

  No Charge – New AWWA member (joined AWWA within last 12 months, or AWWA Members traveling over 100 KM one way

Payment Method:  

    Visa 

    MasterCard

    Cheque

Name:       

Company:

Mailing Address: 

City:        Province:       Postal Code: 

Phone:      Fax: 

Email: 

For Payment by Credit Card only:  

Card Number:     Expiry Date: 

Cardholder Name:  

Signature:

Fax this registration form to  1-877- 283-2007 (in Calgary:  709-0068)

or 

Make cheque Payable to Western Canada Section AWWA and mail to:

    Western Canada Section AWWA.

    Box 1708

    Cochrane, AB   T4C 1B6

No refunds are permitted but substitutions are welcome.