Registration Form
Transcription
Registration Form
Alberta Sand and Gravel Association Education Session: Water Act Applications for Sand & Gravel Operations in Alberta Edmonton Education Session: Water Act Applications for Sand & Gravel Operations in Alberta The object of the training course is to provide participants with knowledge of the requirements to prepare a license application under the Water Act, specific to sand & gravel operations. For more information please contact [email protected] Registration Form Registration Fee includes all course materials and meals. Price: $250 + GST per person Date and time: April 24, 2015 Registration & Refreshments 9:30-10:00 Course 10:00- 4:30 Location: Room No. 7 6th Floor, Stanley A. Milner Library 7 Sir Winston Churchill Square Edmonton, Alberta Registrant Information Name: _____________________________________________________________ Company: ____________________________________________________________ Address: ____________________________________________________________________ City/Town: ________________________________ Postal Code: ________________________ Phone: ________________ Fax: ________________ E-mail: ___________________________ Payment: (please circle one) Visa MasterCard Cheque Credit Card No.: __________________________________________________________ Name on Card: ___________________________________________________________ Expiry Date: ______________________ Signature: ______________________________ There are no refunds. Registrant changes only. Registrations must be paid in full before April 24th, 2015 Any questions please contact the ASGA, at (780) 435-2844 or [email protected]. Cheques can be mailed to: ASGA, Suite 308, 10080 Jasper Avenue NW, Edmonton, AB T5J 1V9. This form can be faxed to: (780) 435-2044, emailed:[email protected] or sent through mail. Payment must be received prior to the session date. Suite 308, 10080 Jasper Ave NW | Edmonton, AB T5J 1V9 | Phone: 780.435.2844 | Fax: 780.435.2044 | asga.ab.ca