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Print and Fax this registration form to  (877) 283-2007 

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

WINNIPEG AWWA Networking Event Registration

Date: Thursday May 29, 2008     Location: WINNIPEG MB Holiday Inn South

  $ 25 AWWA Members (includes GST)

  $ 35 Non members (includes GST)

  No Charge – New member (joined AWWA within last 12 months, or 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

Registration must be received by May 26, 2008  to allow confirmation with the caterers.  
No refunds are permitted but substitutions are welcome.