ࡱ> 241!` ybjbj\\ *>>rrrrrrrnnn8i$_hr@"@@rr#lll@rrl@llrrl nlL90il_ _ l_ rl0Z`@l4l^i@@@@ d rrrrrr  NATIONAL LEVEL MTB COMMISSAIRE COURSE November 11-12th English Vancouver, British Columbia REGISTRATION / APPLICATION FORM Name: __________________________________________________________ Address: ________________________________________________________ City / Town: _________________ Province:______Postal Code:____________ Phone: ( )___________ Phone: ( )___________ Fax: ( )____________ E-mail: < > Current Level: _______________________ Licence Number:_______________ Provincial Association: YES / NO By: ___________________________ Please circle Provincial Association representative Please note: Candidates must obtain authorization directly from their Provincial Association. Payment can be made by personal cheque or VISA Cheques must be made out to the CANADIAN CYCLING ASSOCIATION For VISA payments, please provide the following: Name of cardholder: ______________________ Card number:____________________________ Expiry date: _____________________________ Date:_______________________ Signature:_________________________ REQUEST FOR ACCOMMODATION Yes, I will require accommodation, to be booked in my name, from November ____________ to November _____________. (Room rates will be based on double occupancy). All registrations must be received by the CCA no later than October 27th, 2006 Registrations will be accepted in the order that they are received.      2197 Riverside Drive, Suite 702, Ottawa, Ontario K1H 7X3 Tel: 613 248-1353; Fax: 613 248-9311; Email: development@canadian-cycling.com  &'7B]M 9 ;  ʵʉʉwbKb,hQh^95>*CJOJQJ\]^JaJ)hQh^95CJOJQJ\]^JaJ#hQh^9CJOJQJ]^JaJ#hQh^96CJOJQJ^JaJhQh^9^JaJhQh^9^JaJmH sH (hQh^9CJOJQJ^JaJmH sH  hQh^9CJOJQJ^JaJ#hQhQ5CJOJQJ^JaJ#hQh^95CJOJQJ^JaJ'B^_  L M : ;  !  !FZ^F`Z !F^F` !$a$ x ! r @  C F IJĠIJĠqieieieieWSh^9jh^9UmHnHuh#jh#U#hQh5CJOJQJ^JaJ#hQhQ5CJOJQJ^JaJhQh^9^JaJ#hQh^95CJOJQJ^JaJ#hQh^96CJOJQJ^JaJ hQh^9CJOJQJ^JaJ)hQh^95CJOJQJ\]^JaJ)hQhQ5CJOJQJ\]^JaJ! " Q R  @ A B F G H I gd^9$a$$a$ ! (vwxy$a$ $$dNa$gd^9 uwxy hQh^9CJOJQJ^JaJh#h^9h^9CJOJQJh^9CJOJQJmH sH (/ =!"#$% 8@8 Normal_HmH sH tH F@F Titre 1$$@&a$5CJOJQJB@B Titre 2$$@&a$ CJOJQJ<@< Titre 3$@& CJOJQJ:A: Police par dfautZiZ Tableau Normal :V 44 la 2k2 Aucune liste O Company NameH$&d#$0$M $d %d &d 'd /-D P @CJ EHOJQJ@ @@ Pied de page  !6@6 En-tte  !y 'B^_LM:;!"QR@ABFGHI(vz000000000000000(0000(000000000000000000000000000000I00I0000@0I0@0@004'B^_LM:;!"QR@ABFGHI(vwzI0HK0K0K0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0I0K0I0I0I0I0I0I0I0I0I0I0I0I0K0I0I0I0I0I0I0I0K0I0I0I0 0K0K0K0K0K0I0I0I0I0 0  y ! y x t  ,R$!->(R(@ 0(  B S  ?(    3 L:file://G:\logos\CCA-02BL.JPG" pX!4@p@p$5@p'5@p 4@p5@pd)5BBM$zK]]#,,z=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace $9"BHRYwz,.[])+X]  FHwz3333333B_"uwzwz^9)p#-/Q(wzs@ y@UnknownGz Times New Roman5Symbol3& z Arial?& Arial Black"1h44N,rf  4d2HP?2Canadian Cycling Association Brett StewartFlorence BourgOh+'0 ,8 X d p | Canadian Cycling AssociationBrett StewartNormalFlorence Bourg2Microsoft Office Word@@j[@ׂ@ׂ՜.+,0 hp|  CCA d Canadian Cycling Association Titre  "#$%&'(*+,-./03Root Entry FpP51Table_ WordDocument*SummaryInformation(!DocumentSummaryInformation8)CompObjq  FDocument Microsoft Office Word MSWordDocWord.Document.89q