Type of organization:
None
Please supply
Please supply
Organization Name:
First name:
Last name:
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E-mail address:
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Title:
Address:
City:
Main Intersection:
Province:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nunavut
Nova Scotia
Ontario
Prince Edward Island
Quebec
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Postal Code:
Telephone:
ext.
Comments:
We are requesting a seminar:
How many Pardons Canada seminars
has your organization attended in the
past 10 years:
Requested date of seminar:
/
/
mm/dd/yr
Number of participants:
less then 25
25-50
50-250
over 500
Would you like a link from our website to yours?
Yes
No
If yes, website address:
Would you like our permission to
provide a link from your website to ours?
Yes
No
We need to replenish our office’s
supply of Pardons Canada:
Brochure Cards
Posters
Booklets