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        FISH        CHICKEN
    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.