2017 SER-WC AGM Registration
Please fill out the fields below to register for the 2017 SER-WC AGM, October 15, 2017 in Burnaby, BC. Please refer to our website for additional event details.

THE REGISTRATION DEADLINE IS OCTOBER 14, 2017

First Name *
Your answer
Last Name *
Your answer
Email Address *
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Address *
Please enter: street address, city, and postal code
Your answer
Phone Number (primary) *
Format: (555)555-5555
Your answer
Phone Number (alternate)
Format: (555)555-5555
Your answer
I will be attending... *
Required
Would you like to subscibe to the SER-WC E-Newsletter? *
Required
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