Registration Form
"APL+Win Feast of Features" Workshop - Feb. 16, 2006
(please print and mail to address below, or fax to: 416-482-6582)
Name(s) ____________________________________________________________
Company ____________________________________________________________
Address ____________________________________________________________
____________________________________________________________
Telephone __________________________ Fax ____________________________
Email ____________________________________________________________
Number of
Attendees $Can. Amount
( ) x $149.00 = ______
GST (Federal sales tax = 7% of above) = ______
Total = ______ $Can.
Please make cheque or money order payable to "APL Borealis".
For payment by credit card (Visa and MasterCard accepted), please include the
following information, or contact us by telephone:
___ Visa ___ MasterCard
Name on Card: ____________________
Card Number: _____________________ Expiry: _____
If payment in $US is necessary, please contact us.
Registration forms and payment may be mailed to:
APL Borealis Inc. ·
381 Manor Road East ·
Toronto ·
ON ·
M4S 1S7
Voice: 416-457-7828 ·
Fax: 416-482-6582 ·
email:
