Fly Fishing Canada

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Individual Competitor Registration

This registration form is for competitors registering as individuals, not as part of a Team. Those wishing to register as a team should use the team registration form.

* - denotes required field

Date:	2008-05-12
First Name:
Last Name:
Address:
City:
Prov:
Postal:
Country:
Work Phone:
Home Phone:
Fax:
Email:
	To avoid unwanted spam we require that you enter the security code shown below in order to submit your inquiry.
Security Code:	Type the characters you see in the picture below.
	The Registration Fee is $300.00 Canadian Dollars, per Competitor. Competitors can pay via check to the following address: Fly Fishing Canada c/o Diana Lavigne LaBarge Weinstein Professional Corporation A Business Law Firm 515 Legget Drive, Suite 800 Kanata, ON K2K 3G4 Registration is not complete until payment is received!

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