Resistance Management Specialty Exam Registration Form

February 1, 2019

Cost: $95.00 + $12.35 HST = $107.35

The registration fee includes registration, lunch, and two coffee breaks. This workshop is not a mandatory component of the CCA program.

First Name:	*
Last Name:	*
CCA Number:	*
Company:	*
Phone:	*
Email Address:	*
Dietary Concerns/ Food Allergies:
		Check here if receipt required.
Total Amount:		$ 107.35

All communication for this workshop and the exams will be done via email. Please add mary.tfio@bell.net to your safe sender’s list in your email contact list to avoid missing any important messages or notifications.

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