Register

Canadian Institute of Energy (BC)

Register

Mailing Address:

987 Devon Road,
North Vancouver BC V7R 1V8

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Registration Form

You may submit this form on-line or print and mail directly to CIE at the address opposite

Payment not received prior to the event must be made at the door.
Please make cheques payable to "CIE"
Please Note: Payment is required if notice of cancellation is not made at least 48 hours prior to the luncheon.

Membership
Renewal:

Event:

Cost:

Name:

Company:

Title:

Address:

City:

Province: Postal/Zip Code:

Country:

Telephone:

Fax:

E-mail:

Additional Guest Names:

1.    2.

3.    4.

5.    6.

Note: We accept both cheque or Visa for payment of our events.

If you wish to pay by Visa, please check here.

As this is not a secure site, Lorelei will phone for your Visa number.

If paying by cheque, please mail your cheques to:

CIE, c/o Lorelei Hopkins

987 Devon Road,
North Vancouver BC V7R 1V8