Registration Form - Fredericton Member Luncheon

Details:
Friday, September 5 , 2008
Delta Fredericton - Fredericton, NB (Victoria Room)
12:00 - 1:15
$22.00 + 2.86 HST = $24.86 (HST #R122270739)

REGISTRATION DEADLINE IS Noon, Wednesday, September 3, 2008

Please complete below registration form:

Name / Nom :
Organization / Organisation :
Address / Adresse :
City / Ville :
Province / State :
Postal Code / Code postal :
Phone / Téléphone :
Fax / Télécopieur :
E-mail / Courrier électronique :
	Please pay via online banking or mail a cheque in the amount of $24.86 to: NBICA 55 Union Street, Ste.250 Saint John, NB E2L 5B7 Thanks!