IVMA Man/Sask - Membership Form

Calendar of Events

	2009 IVMA-Man/Sask Tour and Seminar -- Wed., Sept. 9 & Thurs., Sept 10, 2009 - Winnipeg, Manitoba

IVMA-MAN/SASK
2009 Membership Form

Name:
Company:
Address:
City:		Province:
Postal Code:
Phone No:		Email:

MEMBERSHIP FOR 2009:	INDIVIDUAL	$ 50.00
	CORPORATE	$ 250.00

PLEASE ENTER YOUR CHOICE

If you require printed forms, please forward request to:

Brent Wark
IVMA-MAN/SASK
P.O. Box 101, Station Main
Winnipeg, Manitoba, R3C 2G1
(204) 781-4791
executive.director@ivmamansask.com