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“Reinventing the Triangle "VII”

TT$945. / US $150.

REGISTRATION FORM

PERSONAL DATA

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AUTHORIZATION:

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Please advise on personal considerations if any(e.g. dietary, physical etc.)

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Please note that when cancellations are made, no refunds will be given. However, should a company sponsor a participant, they will be free to send a replacement

JULY 31, 2007, 8:00 AM to 5:00 PM

Please make cheque payable to:

Emancipation Support Committee
5B Bergerac Rd
Maraval

for further information call

633-9236;628-5008 fax;633-9235
email emancipation@wow.net