"On the Road Again - Optimising Lobster Survival through the Chain-of-Custody"

Please fill out the form below or print the pdf version of the form and fax to 902-894-2885 or mail to :
Lobster Science Workshop
AVC Lobster Science Centre
550 University Avenue
Charlottetown, PE C1A 4P3

* Required fields


* Organisation:
* Address:
* Postal Code:
* Phone:
Fax:
* Email:

Attendee Information
* Name:
Title: (ie. Plant Manager, Resource Manager)
Phone:
Email:
*Industry Division
If Other, please specify

* Please Indicate what You Will be Attending
	Stand Up Reception
	Workshop (before Oct 21st, 2011 $35, after Oct 21st $45)

* Payment Options
	Credit Card
	Cheque
	Invoice (If paying by invoice please provide billing information)
Please make cheques payable to "University of Prince Edward Island" A full refund is available if cancelled before Oct 21, 2011, an adminstration fee of $25.00 will be charged for cancellations after this date. Someone from the AVC Lobster Science Centre will be contacting you shortly to arrange payment.
If you have chosen to be sent an invoice. Please provide the following information:

Name
	Use organisation information entered above.
Address
Postal Code
Phone
Fax
Email
Please select preferred method of sending invoice
Email Fax Canada Post

Home

Agenda

Registration

Accommodations

Venue

S ponsors

2010 Workshop