CAO Orientation Module Registration


Module Dates:     April 17th - 18th, 2012
Module Location: To be determined based on registrations
Course Fee:        $155.00 (includes light lunch on April 17th)

The course may be held in any or all of the following locations based on the number of registrations:  Edmonton, Calgary, Red Deer. 

Please complete the following registration form and then press the submit button when your are finished. 

You must have a valid credit card (Visa or Mastercard Only) to use the online registration process.

If you do not wish to register online you may click here to download a registration form to be mailed or faxed to APHAA.

You may register up to four people using the online form below.

Number of People you are registering:

Full Name of 1st Attendee:

Full Name of 2nd Attendee:

Full Name of 3rd Attendee:

Full Name of 4th Attendee:

Company Name:

Contact Email Address:

Contact Phone:

For each possible course location shown below, please advise us whether or not you would be willing to attend in that location.

Edmonton
Calgary
Red Deer


Should you decide not to attend once the location(s) of the course have been finalized, a full refund will be issued to you for fees paid. 

If any attendee has any special needs (dietary, etc.) please provide details.

By checking the box to the left, I am agreeing to register the indicated people for this course and have a valid Visa or MasterCard to use as payment of the fee.  ((After checking the box please hit the submit button below to proceed with the registration and payment process).

 

  

 

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