Registration Form

Catholic Health Association of New Brunswick

Registration Form

Catholic Health Association of New Brunswick

Annual Conference

September 25th and 26th, 2008

To Register for this Conference, enter your information below and click submit.

For more information on this Conference, click here CHANB Annual Convention

Name/Nom:
Email Address/Adresse électronique:
Telephone/Téléphone:
Address/Adresse:
Institution/Organisme:
Occupation/Emploi
Yes, I will be attending the banquet
I will be bringing a guest (Additional $20)
Yes,I would like to visit a site
If yes, please choose which site you would like to visit

***A Cheque or Money Order must accompany registration form. Made payable to :

CHANB

1773 Water Street

Miramichi, NB
E1N 1B2

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