OILFIELDS WORKERS' TRADE UNION ONE DAY SEMINAR ON OCCUPATIONAL HEALTH, SAFETY AND THE ENVIRONMENT WEDNESDAY APRIL 30TH, 2003 PRE-REGISTRATION FORM
NAME OF ORGANIZATION PARTICIPANTS: 1 2 3 4 5 (You may fill an additional form if you are sending more than 5 participants) PLEASE INDICATE YOUR CHOICE Of MEALS: VEGETARIAN 1 2 3 4 5 FISH 1 2 3 4 5 CHICKEN 1 2 3 4 5 NAME OF RESPONDENT: POSITION IN ORGANIZATION: PAYMENT ENCLOSED: CHEQUE CASH
FAX: E-MAIL: DATE: SIGNATURE:________________________
Please print and return on or before 30th April 2003.