Exhibits

SARSCENE 2005
October 5-8, 2005
Charlottetown, Prince Edward Island
Trade Show Registration

Booth Reservation and Selection
___ booth( s) at C$ 850 until July 31, 2005
___ booth( s) at C$ 1000 as of August 1, 2005
___ banquet ticket( s) at $40 each
PLEASE NOTE THAT THESE PRICES DO NOT INCLUDE ELECTRICITY.

Method of Payment
___ Cheque (payable to SARSCENE ) ___ Visa___ MasterCard
Card Number________________________ Exp. date _______
Name of Cardholder___________________________________

Company Information
Company Name_________________________________________________________
Contact Name __________________________________________________________
Address _______________________________________________________________
City __________________________ Province/ State____________________________
Postal/ Zip Code _________________ E-mail address___________________________
Telephone Number ____________________ Web site address____________________
Fax Number _______________________ Toll-free number_______________________

Company Representatives*
Rep 1 Name and Title___________________________________________________
Rep 2 Name and Title___________________________________________________
(* If you require more than two passes, please contact the Trade Show Coordinator)

Company Description
This information will be used in the Program. Fifty words maximum, please.

______________________________________________________________________________________________

Please return this form to:
Tina Bouchard, Trade Show Coordinator
National Search and Rescue Secretariat
275 Slater Street, 4 th Floor, Ottawa, ON K1A 0K2
Phone: 1-613-992-8215 Toll free (in Canada) 1-800-727-9414
Fax: 1-613-996-3746 E-mail: tbouchard@ nss. gc. ca

Top of SARSCENE 2005


Date Modified: 2004-11-23		Important Notices