Partnership Conference Series
April 21, 2006
Registration Form
Fax to: 613-726-3444

Name:
Title:
Organization:
Address:
City:
Postal Code
Phone Number:
Fax Number:
E-Mail Address:
OCRI Members - $60.00 Including 7% GST
Others - $85.00 Including 7%GST
Student - $30.00 Including GST
Method of Payment	(includes GST - OCRI GST #122847510)
Cheque (payable to OCRI/Partnership)
MasterCard
Visa
AMEX
Card Number
Expiry Date
Cardholder Name
Signature
By registering for this event you will automatically be added to the Partnership Conference Series distribution list. ____ no do not add me to this mailing list