Notice of Dinner Meeting Jan 11 2012 Registration Form

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To Register complete and fax this form to: 450-4924 prior to January 9, 2012 Noon.

Cost: 25.00 + HST. All Participants need to be pre-registered in writing please.


Name: __________________________________________________________________________________________
Company: _______________________________________________________________________________________
Phone: ____________________________________ Cell #: _________________

Fax: ______________________

Email Address: ___________________________________________________________________________________


CHEQUE VISA MasterCard Paying at the door
Invoice option has been removed - Payment is required prior to the meeting or at the door.
Card Number: ________________________________________________________

Expiry Date: ______________

Cardholders Name: _______________________________________________________________________________


Cancellations can be made in writing within 24 hours of the event. Sorry, refunds will not be given to cancellations or
no-shows less than 24 hours before the event.

Make cheques payable to the Canadian Home Builders Association Greater Fredericton
403 Regent Street, Suite 207, Fredericton, NB E3B 3X6, Telephone: 1-800-463-6034 or 459-7219,
Email: nbhome@nbhome.nb.ca Fax: 450-4924

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