Manitoba Course Registraton Form  
(not required for Complimentary Breakfasts)


Course Calendar    Course Fees    Registration Instructions      Fax Form     Privacy Statement

Company Contact Info:

Company:

Address:

City:

Province:  

Postal Code:

Admin Contact:

Contact :

Title:  

Email:  

 

Phone:

Fax:  

Cell:  



Person A:

Name A

Title

Email:

Dietary Restrictions

Course

Date

Location

Course Fee

 

 


Person B:

Name B

Title

Email:

Dietary Restrictions

Course

Date

Location

Course Fee

 

 


Person C:

Name C

Title

Email:

Dietary Restrictions

Course

Date

Location

Course Fee

 

 




Comments:

If you are registering more than 3 people, please give us a call or use the comment box for further information.


Payment:

Please select cheque or credit card payment. If you select credit card, we will contact you for the credit card information. Cheque VISA MasterCard

If you are GST Exempt, please check the box below and fill in your GST Exempt number:

GST Exempt

GST Exempt Number:


Person

 Course Fee

 

GST

 

Total Fee

 

"A"

$

+

$

=

$

 

"B"

$

+

$

=

$

 

"C"

$

+

$

=

$

 
Total Payment:
 
$
 

If paying by cheque, please make cheque for $ payable to "Pinchin Environmental Ltd. Thank you.


Please sign me up for free Pinchin Newsletters, Bulletins and Courses.

I have read and agree to the Cancellation Policy.





Privacy Statement

Pinchin Environmental does not give, sell, or otherwise transfer information to any other party for the purpose of initiating, or enabling others to initiate, e-mail messages or mailings

Hazardous Materials
(Asbestos, Mould, Lead)
Indoor Air Quality &
Microbial Contamination
Environmental Assessment
& Transactional Due Diligence
Building Science
Air & Noise
Occupational Health & Safety
Climate Change GHG
Environmental
Laboratory Services

 

Course Calendar  
     
Course Calendar PDF  
Course Fees
Registration Instructions
   
Cancellation Policy