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Canwell 2006

Canwell 2006

Canwell 2006
Exhibitor Registration Form

May 17 to 20, 2006 , Charlottetown, Prince Edward Island, Canada

Fill in the form below to register as an Exhibitor at Canwell 2006.
 Exhibitor Registration
*required field
Company Name: *
Mailing Address: *
City: *
Prov/State: *
Postal/Zip: *
Country: *
Bus. Phone: *
Fax:
Email: *
Name: *
Name 2:
   

One booth purchase includes registration for one person which includes all the privileges of a delegate registration: A trade show pass, wine & cheese reception, coffee/nutrition breaks, pub night, outdoor demonstration & barbeque.
  One 8' x 10' inside booth (see floor plan) x $1200.00
 Indicate booth preferences: 1st Choice: 2nd Choice:
 Outside display (large equipment) x 800.00
 Wednesday May 17 - Golf & Dinner x $90.00
 Thursday May 18 - Luncheon x $20.00
 Friday May 19 - Luncheon x $20.00
 Friday May 19 - Lobster Supper x $50.00
 Saturday May 20 - Banquet & Dance x $60.00

Subtotal 

 GST # 872425962RT0001 

  GST 

Shipping & Handling 

Grand Total 
 Payment by Visa, Master Card or cheque (payable to: Atlantic Water Well Association)
 Method of payment:    Visa    Mastercard   Cheque
 Card Number: Expiry Date: mm yy
 Cardholder Name:      
 Signature: Type "I AGREE" to have your credit card debited

 Send payments by cheque to:

Patti Josey, Event Coordinator, c/o Atlantic Water Well Association
# 3 - 644 Portland Street, Suite 219 , Dartmouth, N.S.. B2W 6A3
Tel: (902)-435-6636 ; Fax : (902)-434-7827 ; Email: patti.josey@iworks.net
 

 
Canadian Ground Water Association 1600 Bedford Highway Suite 100 – 409 Bedford, NS B4A 1E8
Phone: 902-845-1885 Fax: 902-845-1886 Email: info@cgwa.org
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