Registration Form

(please print this form and fax or mail in)

Company: ________________________________________________________

Address: ________________________________________________________

City: _________________________ Province: ________________

Postal Code: _________________________

Phone: _________________________ Fax: ________________

1st Attendee:_________________________________________ x $ __________

2nd Attendee:_________________________________________ x $ __________

3rd Attendee:_________________________________________ x $ __________

Sub Total __________

GST @ 7% __________

TOTAL __________

Advance registration is required!

Cost per person: $225.00

Limit: 12 participants

Payment: Cheque or Master Card in advance or at the door.

Make all cheques payable to:

Fair Canada Engineering Ltd.

#200 6225 - 10 Street S.E.

Calgary, Alberta T2H 2Z9

For more information, please call (403) 269-5311 or fax (403) 269-5559

E-mail: services@fcel.com