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	About the Dollars to $ense workshops

Registration form

Cost of workshops:

One workshop – $340
Two workshops – $600
Three workshops – $805
Four workshops – $1010

Group discount – Cost for each additional registrant per workshop is $250

A cancellation fee of $50 will be charged if you do not notify us of cancellation a minimum of 72 hours prior to the start of the workshop.

Select Workshop(s)

I want to register for the following workshop(s):

Energy Master Plan

Spot the Energy Savings Opportunities

Energy Monitoring

Energy Efficiency Financing

	None.
	For Private Sector
	For Public Sector

(F) French Workshops

Workshop Venues

Participant Information

* Mandatory

* First name:	* Last name:
* Title:	* Organization name:
* Address:	* City:
* Province/Territory:	* Postal code:
* Telephone number:	Fax number:
* E-mail:
* Sector:	* Sub sector:
Comments: Lunch will be provided. Please notify us if you have any special dietary needs, general comments or requirements.

Method of Payment

	Please send me an invoice
	Payment by cheque payable to the Receiver General for Canada
	VISA
	MasterCard
	Federal Employee
	Organization No.
	Reference No. Note: Provided by Finance Personnel

If you select Visa or MasterCard, you will be sent an authorization form via e-mail. Please complete and sign the form and return it by fax to (613) 943-5380.

Charge Summary

Amount due:
$

GST (6%):
$

Total amount due:
$

* Registration fees will be charged following the workshop. Applicable discounts will be calculated at that time.

* How Did You Hear About Us?

	Magazine ad
	Web
	Flyer
	Other

Specify:

Registration form

Accompanying Participants