2017 CRTPA AGM Guest Registration

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I am currently employed as a Circuit Rider Trainer or as a Maintenance Trainer *

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If you answered yes to this question, please complete the CRTPA Membership Registration form.

Dates you will be attending the Vancouver AGM 2017 (Choose all that apply) *

August 22 August 23 August 24

Do you have any specific dietary needs? (ie. Vegetarian, allergies) If yes, please explain *

Personal Information

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Phone / Cell Number *

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Preferred Communication *

Current Employer: *

Describe your relationship to the CRTPA (interest): *

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