National Capital Region Council

General Meeting
Observer registration form

 General meeting of the NCRC September 15, 2007.
Registration will start Saturday April 21, 2007 at 8:30, the meeting will open at 9:00 and conclude at 17:00 on Saturday September 15, 2007. J.K. Wyllie boardroom, 233 Gilmour, Ottawa.

Deadline for registration:  September 7, 2007.

Please print

Name: _______________________________________
 Component:________________________
 

Address: ________________________________________________________________________________________
 
________________________________________________________________________________________________
 
   
City, Province: ___________________________ Postal Code: ________________________
   
Local: __________________________________ PSAC ID____________________________
   
Telephone: (H) ___________________________
 Telephone: (W) _____________________
   
FAX:________________________________
 Email: _________________________________
 
CERTIFICATION / CREDENTIALS
 

   I hereby certify that this observer is a member in good standing
 
Signed by:__________________________________________________________________
                   Local President, or Local Executive Member, or Committee

 

Please return to REVP-NCR
 15 Holland Avenue Ottawa ON  K1Y 4T2  

Fax: (613) 761-7606