Assembly of First Nations

Open Forum on First Nations and the

2015 Federal Election
Edmonton Marriott at River Cree Resort
300 East Lapotac Boulevard, Enoch, AB T7X 3X3

October 7, 2015

REGISTRATION FORM
Mr.

Mrs.

Ms.

Miss

Chief

Other: ________

First Name: ______________________________ Last Name: ______________________________

First Nation/Organization: ___________________________________________________________
Address: _________________________________________________________________________
City/Town: _____________________________ Province ________ Postal Code: ________________
Telephone: _______________________________________________________________________
E-mail: __________________________________________________________________________

Please check box if you wish to receive AFN e-mail updates including press releases, bulletins and
event notices.

Please return form to the attention of Regina Toulouse by fax at 613-241-5808 or by e-mail at
rtoulouse@afn.ca by October 2, 2015. After this date, please register on site.
There is no registration fee to attend.