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Event Registration


**** required fields

Detailed information on Events        If you just wish to become a FMI member, please go here

To cancel a registration send email with subject "CANCEL" and details of Event and Invoice number to Registrar.
First Name **** Surname **** E-Mail **** Company Name (Employer)****
Street Address**** City**** Prov./St Post Code **** A Code Phone **** Ext
Select Appropriate Event from drop down list ****
Price including Regular Membership is $35.00 higher (Select Rate 41)
Price including Student Membership is $15.00 higher (Select Rate 42)
*Privacy **Spec Diet *** Billing E-mail  Rate ****      Mem of  Member #
I accept cancellation (refund) Policy
*   Privacy: Select Yes to NOT have your info shared with other attendees at this event.
**  Spec Diet: If you require a Special Diet select from the drop down menu. If there is not a choice which meets your situation please email requirements to FMI Regina
*** Billing Email: If you wish a copy of invoices and receipts sent to a second person please provide a Billing E-mail address, otherwise leave blank.

If you selected Rate 41 or 42 - Evt+Membership,
please complete the Membership Data Fields below

Title Department Primary Designation Sector you Work in
Work Chiefly Comprises of Res ACode Res Ph (###-####) Fax ACode Fax Ph (###-####)


You will receive an Invoice and Payment instructions by email from