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		Maritime Arena Operations Institute 2010 Maritime Arena Operations Institute Registration Form CARI Centre, Charlottetown, PE June 14 - 17, 2010 Please submit a registration form for each person attending the course. RFANS is pleased to accept payment by VISA or MasterCard. HST #885076364 Name: Facility: Title: Mailing Address: City/Town: Province: NS NB PE Phone: Fax: Email: I would like to register for: Level 1 Level 2 Please check the appropriate fee: RFANS/RNB/RPEI Member - $449.95 + HST I'm not a member of RFANS/RNB/RPEI - $499.95 + HST Payment Method: Cheque Credit Card Please Invoice Me For those wishing to be invoiced, please indicate PO #: Please let us know of any comments you might have or special considerations:

Maritime Arena Operations Institute