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Event Registration:

Fill out the following form and click on the [Submit] button or the [Reset] button

For more information, please contact us.

* - denotes required field.

For payment click here to download the fax-back form: PDF format or MS Word format

Or Make cheque payable to

HDI Ottawa Chapter
1 McLaughlin Cres.,
Kanata, Ontario K2L 2P9

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Event   

Contact Name *
Company Name 
Address 
Email *
Phone     Ext.

Other Members or Guests:



Name 
Name 
Name 
Name 
Name 


Comments 

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