Registration form | Congress of the FCFQ 2010

CONGRESS OF THE FCFQ - 2010

Online registration form

N.B.: The fields marked with an asterisk are mandatory.
You must complete a new form for each delegate.
This completed form must be sent to us before April 30, 2010.

Once the form has been sent, kindly mail your cheque, made out to:
Comité du Congrès 2010
611, Chemin du Pont Taché Nord, C.P. 573
Alma (Québec) G8B 5W1

Information about the funeral cooperative

Name of the cooperative* :

Other name:

Address*:

City*:

Province or State*:

Country*:

Postal code*:

Phone number*:

Fax number:

Email address*:

Information about delegate

Last name*:

First name*:

Email address*:

Informations about escort

Last name:

First name:

will be present for the city tour (Friday)
will be present for L'Odyssée des bâtisseurs (Saturday a.m.)
will be present for lunch at Chez Mario Tremblay (Saturday)
will be present for the Camp musical (Saturday p.m.)
will be present for the lecture by J-L Tremblay (Saturday p.m.)

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