Please reserve _______ tickets for the following personnel who will be attending the 54th
Annual General Meeting of the New Brunswick Road Builders & Heavy Construction
Association being held at the DELTA Hotel in Fredericton, Tuesday and Wednesday,
January 10th & 11th, 2012.
Registration Fee to all Events: $390.00 per person plus H.S.T.
Registration Fee if three or more delegates attend: $360.00 per person plus H.S.T.
Telephone: (506) 454-5079
Fax: (506) 452-7646
Names: ____________________________ _________________________________
Will you be attending the Wednesday morning seminar? Yes No
METHOD OF PAYMENT
Payable by cheque, VISA or Mastercharge. Your NBRB&HCA registration package includes
admission to all business sessions and all meals and scheduled events included in the conference
program which runs from Tuesday, January 10th through Wednesday, January 11th, 2012.
Name of Cardholder: _____________________________________
Signature of Cardholder: __________________________________
E-mail Address: _________________________________________
Telephone No. _______________________
Card No.: ______________________________________________
Expiry Date: __________________ Amount: _______________
Name of Company: _______________________________________________________
Phone Number: ______________________
Please note: Registration Fee also includes one copy of the 2012 Equipment Rental
Rates Guide & Membership Guide.