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Airborne Regiment
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Registration Form - Date: 17, 18 and 19 July 2009 in OTTAWA, ON
MEMBER TO FILL OUT APPLICATION FORM (PLEASE PRINT)
NAME;________________________ _______________________ (Surname) (Given Name)
Address: ______________________________________________
(City/Town)______________________________
(Province)_______________ Postal Code: ________________
Tel: (_______) _______________
E-mail: _______________________________________________
Unit served with: ________________ from: _____________ to: ______________
Coy served : ________________ Pl : _______________________
Note: a. Information will be posted on the Airborne Regiment Association of Canada web site and will be posted in the Maroon Beret, b. Pass on the information to as many former members as possible. c. The celebration is open to all past members of the Regiment, those who were in non-jump support roles (1 FSSU, 1 AB Svc Coy), past and current jumpers of all strips ie: CABC, CFPMD, regular and reserve forces jump companies, foreign paratroopers, 1 Can Para, 1 FSSF, Aircrew, White or Red maple Leaf jumpers from across Canada will be invited to Ottawa to mark this special occasion.
Registration cut off date: 13 July 09
Payment, in advance, by ____cheque, ____money order, ____Visa or ____MasterCard.
No. of tickets ____ Total amount $________.00
Credit card no: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp date: ____ / ____
Send event application form and payment to: ARAC 3 – 36 de Varennes, Gatineau, QC, J8T 0B6 Email: airbornekitshop@sympatico.ca Phone: 819-568-6669 Fax: 819-568-1074 |
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