Requested Registration for Monthly Meetings

»Request registration online using this form then contacting the person below in reference to payment;

»or register by printing this form, then completing and mailing it with payment to:

Kelly Ott
PMA Canada District
ShopEdge Software Inc.
30 Duke Street W Suite 1101
Kitchener, ON N2H 3W5
Phone: 519.579.1212 ext. 21
Fax: 519-579-1212
kott@shopedgesoftware.com

Please fill out this form for each person wishing to attend.

Requested Registration for the APRIL 24, 2008, meeting
 
Your Information:  
*Prefix Mr. Mrs. Ms.
*First Name
*Middle Initial
*Last Name
Name on Badge
*Title
*Company
*Company Membership Status Member Nonmember
*Company Address
Company Address
*Company City
*Company Province
*Company Postal Code
*Company Country
*Company Phone
Company Fax
*E-mail
(A copy of this request for registration will be sent to the provided e-mail address. If you do not receive it within 24 hours, please contact Kelly.)
 
Special Arrangements/Requirements
 
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