Scleroderma Society of Canada
Annual General Meeting

Registration Form

To register for the AGM please fill in and submit, mail or fax this form.
For more information on the AGM, please see News
Your information will not be used for any other purpose.
Scleroderma Society of Canada - Annual General Meeting
September 18, 2004
Best Western Richmond Inn
7551 Westminster Hwy, Richmond, BC
(see below for room reservations)

first name(s)

last name

your address

City

Province

Postal code

Telephone

Fax no

E-mail address


Please indicate the number of people that will be attending each function:


Continental Breakfast

Annual General Meeting

Buffet Lunch

Speakers

Evening Buffet & Social (your expense)





Best Western Richmond Inn
7551 Westminster Hwy, Richmond, BC
604-273-7878 or Best Western Richmond Inn or- www.richmond-hotel.ca
(mention national scleroderma meeting)

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� Scleroderma Society of Canada, Registration Form, 2001-2004.
 Last Update: rdg - May 12/04 - Email: [email protected]
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