7/17/2019 15-09-23 AFN Open Forum on Fed Election - Registration Form_Fe

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Assembly of First Nations

Open Forum on First Nations and the

2015 Federal Election

Edmonton Marriott at River Cree Resort October 7, 2015

300 East Lapotac Boulevard, Enoch, AB T7X 3X3

REGISTRATION FORM

□ Mr. □ Mrs. □ Ms. □ Miss □ Chief □ Other: ________

First Name: ______________________________ Last Name: ______________________________

First Nation/Organization: ___________________________________________________________

 Address: _________________________________________________________________________

City/Town: _____________________________ Province ________ Postal Code: ________________

Telephone: _______________________________________________________________________

E-mail: __________________________________________________________________________

□  Please check box if you wish to receive AFN e-mail updates including press releases, bulletins and

event notices.

Please return form to the attention of Regina Toulouse by fax at 613-241-5808 or by e-mail at

rtoulouse@afn.ca by October 2, 2015. After this date, please register on site.

There is no registration fee to attend.