Register

Canadian Institute of Energy (BC)

Register

Mailing Address:

CIE,
c/o Suite 500-885 Dunsmuir Street, Vancouver, BC V6C 1N5

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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.

Member
Renewal:

Event:

Cost:

Name:

Company:

Title:

Address:

City:

Province:

Postal Code:

Country:

Telephone:

Fax:

E-mail:

Additional Guest Names:

1.    2.

3.    4.

5.    6.

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

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

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

If paying by cheque, please mail your cheques to:

CIE, c/o Suite 500-885 Dunsmuir Street, Vancouver, BC V6C 1N5