International Market Access, Inc.
USA Business Identity, Warehousing and Fulfillment Services
To register, please print out this form and fill it out in its entirety,
then mail, scan/e-mail, or fax it to:
International Market Access, Inc.
PO Box 94430, Richmond, BC V6X 8A8
E-mail: dbusa@UCanTrade.com
Fax: 604-272-2544
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Registration Form:
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Payment Information:
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Name _______________________________ |
Total Payment $________________ |
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Title ________________________________ |
[ ] Cheque enclosed payable to "IMA" |
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Company ____________________________ |
or Charge to [ ] Visa [ ] Mastercard |
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Address _____________________________ |
Name ________________________ |
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City/Province _________________________ |
Card# _______________________ |
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Postal Code __________________________ |
Expiry Date ___________________ |
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Telephone# __________________________ |
Signature _____________________ |
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Fax# _______________________________ |
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E-Mail Address ____________________________________________________ |
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| How did you hear about this seminar? _____________________________________ | ||