Export USA Registration Form

1
Export USA Registration Form

• Date Tuesday, October 18, 2005
• Time 8 a.m. 115 p.m.
• Place Museum of Industry, 147 North Foord
  Street, Stellarton, NS
• Exit 24 from Trans Canada Highway
• Cost 25 registration fee (paid at the door)
• YOUR CONTACT INFORMATION
• Name ____________________________________________
  _
• Company _________________________________________
  _
• Address _________________________________________
  __
• _________________________________________
  __
• Tel/E-mail ______________________________________
  ___
• Currently Exporting? ____ No ____ Yes - where?
  _________________
• Would you like a one-on-one meeting with our
  speakers? Please rank
• your choices in order of preference. Every
  effort will be made to
• accommodate your request.