Village of Burns Lake | Minerals North 2012

Registration

Sponsor:

Date:	May 23 - 25, 2012
Location:	Tom Forsyth Arena 110 Park Street Burns Lake, BC
Cost:	$150.00 Early Bird - before March 1, 2012 $180.00
Payment:	Visa and MasterCard payments will be accepted with your online registration. Cheques should be made payable to: “MineralsNorth c/o Village of Burns Lake" And sent to: Village of Burns Lake PO Box 570 Burns Lake, BC V0J 1E0
Deadline:	May 18, 2012
Refund Policy:	Full refunds up to April 15, 2012. No refunds after that day. Substitutions allowed.
Notes:	Dress for Minerals North 2012 is casual. As meals will be served outside be sure to bring appropriate outerwear.
If you have questions, please contact Sue Clark at 250-640-2696 or psclark@telus.net If you experience any difficulties with this form, please contact CivicInfo BC at 250-383-4898.

Delegate Information

*Delegate First Name:
*Surname:
*Representing:
*Position:
*Mailing Address:
*City:
*Province:
*Postal Code:
*Phone:	( ) -
Fax:	( ) -
*E-mail Address:
List any Dietary Restrictions:	None Specify:
*What Sector do you Represent:	Industry Community Economic Development Elected Official Other

Pre Conference, Workshops & Banquet

Pre Conference Tours - May 23, 2012 There is still space on the morning tour departing Burns Lake at 9am. Sorry, the afternoon tour is sold out.
	Tour to Endako (Cost: $50.00)
	No Tour
Workshop - Thursday May 24, 1:30 - 2:30 (No Cost)
	Investing in Mining Stocks
	How to Engage with Mine Procurement
FULL	Getting to know your First Nations Neighbours
	Miners and Educators
Banquet - Thursday May 24 at 6pm
	Yes, I will attend the Banquet (Cost: $42.00)

Total Fees

Conference Fees - $
Pre Conference & Banquet Fees - $
*12% HST #106979974RT0001:*

TOTAL PAYMENT DUE - $

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CivicInfo Registration Services

2012 Gold Sponsors

flintstone mining division ltd

2012 Silver Sponsors

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