CERAM CANADA
www.ceramcanada.ca

EVENT APPLICATION FORM




Event Title: ___________________________________________________

  Name:________________________________________________________

Mailing address:_______________________________________________

_____________________________________________________________

Email address:________________________________________________

Telephone: ___________________________________________________

  Cell phone: ___________________________________________________

Event cost per participant: ______________________________________

Payment amount enclosed:  cheque______________ cash_____________

Additional information: ________________________________________


Please make cheques payable to: CERAMCANADA
www.ceramcanada.ca

CONTACT
Ph: 306-376-4423 email: info@ceramcanada.ca
Cell: 306-222-9971 Bonnie Gilmour email:  bonsfire@sasktel.net

CERAM CANADA
P.O. Box 96
220 2nd Avenue
Meacham, Saskatchewan
S0K 2V0