"Victim-Less" 2000 Registration Form

Please fill out and submit or fax your registration to: 905-632-3039 or
Mail to (along with your cheque) to: CAVEAT, 3-164, 3350 Fairview St. Burlington, ON  L7N 3L5

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Registration Information:

Name Postal Code
Organization Work Phone
Street Address FAX
City E-mail
Province

Please let us know if you have any special needs:

Food Allergies    Vegetarian      Other:

Please indicate your choice for Forum 1

Please indicate your choice for Forum 2

  
Please note:    If the submit form does not work please fax to 905-632-3039

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CAVEAT, Canadians Against Violence
Copyright © 1999 CAVEAT. All rights reserved.  Revised: November 13, 2003

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