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PROCESS & AUTOMATION SHOWS

Please fill in all * mandatory fields of the form, check your data entry, and click on Submit Registration button.


First Name*   Last Name*  
Job Title*   Email*  
Phone* ()  Fax () 
Company*  
Address*   Addr. (Cont.)  
City*   Prov/State*    
Postal/Zip*  

1. Choose the show(s) you are registering for:
 
 Vancouver, BC (March 3, 2009) - Best Western Richmond Hotel
Mississauga, ON (April 16, 2009) - Convention Centre
Saint John, NB (May 6, 2009) - Hilton Saint John
Saskatoon, SK (May 26, 2009) - Travelodge Hotel
Winnipeg, MB (May 28, 2009) - Delta Winnipeg
Montreal, QC (September 29, 2009) - Hotel Mortagne
Quebec City, QC (October 1, 2009) - Hotel Plaza
Edmonton, AB (November 3, 2009) - Mayfield Inn
Fort Saint John, BC (November 5, 2009) - Pomeroy Hotel

2. Yes! I Want To Receive (Or Continue To Receive) A FREE Subscription To
    Canadian Process Equipment & Control News. *
 
Yes
No

3. Which of the following best describes your organization? *
 
Industry group:  

Specific Industry:
If other, please specify:

4. FOR AUDIT PURPOSES ONLY *
  In lieu of a signature, please answer the following question.

What is the first letter of the month in which you were born?


Thank you for completing your Registration!