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Understanding and Managing Lymphedema Symposium and Annual General Meeting The Travelodge, Prince Albert SK, May 26th and 27th, 2017

Registration Form


Registration  fees:

Friday
$10

Saturday (Choose only one option below)

$30

I am making a donation of

Charitable # 844468074RR0001
Donations over $20 will receive a charitable receipt.

Name
Occupation
Apartment/Suite/Box #
Street Address
City
Province i.e. AB  SK  MB
Postal Code xxx xxx
E-mail
Phone Number
Receipt
Preference
  

Please indicate which events you will be attending

Friday May 26th

Saturday May 27th

Symposium Hotel Rate ‐ $109.00 at The Travelodge 306‐764‐6441

**Please return your registration form and payment, by May 15th


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  • Refunds are not available for registrations or donations

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