President Signature: Date of Birth: Print Full Name: Mailing Address: yy mm dd yy mm dd Postal Code Residence Phone: ( ) Business Phone: ( ) Fax: ( Email: ) Treasurer Signature: Print Full Name: Date of Birth: Mailing Address: Postal Code Residence Phone: ( ) Business Phone: ( ) Fax: ( Email: ) EVENT Name: Destination: Dates: Describe the activity/event: (over) CONFIDENTIAL WHEN COMPLETED FORM REG/GAM 5443 (2016 Feb) -2 The following information must be attached to this form: Letter of invitation / approval / sanction list – see Special Terms and Conditions For Travel..
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