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BEVERLY TOWNE

To have your community website linked, please email your request to our
Site Coordinator

Website sponsored by:

Beverly Towne Community Development Society
Suite 266, Abbottsfield Shoppers Mall
Edmonton, Alberta
CANADA
T5W 4W1
Phone: 477-6333
Fax: 479-3246

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FREE REGISTRATION

LETS Edmonton

	accepts no responsibility for the availability of goods and/or services
	retains the right to amend listings

In the case of a trade disagreement between members, LETS Edmonton is available strictly as mediator, and accepts no liability for undelivered services or goods.

ON-LINE REGISTRATION FORM

Please provide the following contact information:

Personal Registration and Contact Information
Name
Address
City
Postal Code
Home Phone
Home Fax
E-mail
URL
Please ALSO complete the following to register a Business or Agency
Title
Organization
Address
City
Postal Code
Work Phone
Fax

In which community or neighborhood to you reside/is your business or agency located?

or :

Is there any of your contact information which you do NOT want printed in the Directory:

Please remember to complete BOTH OFFERED AND WANTED *Inventory listings:

*INVENTORY: def. "the goods and services needed and offered by Edmonton LETS members"

Goods or Services OFFERED Barter Percent (either check 100% or enter your choice)

1. 100% or %

2. 100% or %

3. 100% or %

Goods or Services WANTED

1.

2.

3.

Which of the following positions or tasks would you be interested in volunteering for, if any:

President
Treasurer
Secretary

Area Coordinator
Directory/Newsletter
Directory Distribution

I found about Edmonton LETS:

Barter Bulletin
Internet
Media

Website
Other
Edmonton LETS Member

How would you like to receive your Directory?

Paper Form
Fax
Email

8. I would like some other information - Please contact me about:

INSTRUCTIONS: To complete your registration, you must read the following and check off your agreement before submitting this form:
By submitting this form, I agree to accept "LETS Edmonton" trade in full or in part exchange for my goods and/or services.	CHECK HERE TO AGREE I AGREE
IMPORTANT: DO NOT SUBMIT THIS REGISTRATION WITHOUT YOUR AGREEMENT

Date Submitted: August 12, 2004

	Website sponsored by: Beverly Towne Community Development Society Suite 266, Abbottsfield Shoppers Mall Edmonton, Alberta CANADA T5W 4W1 Phone: 477-6333 Fax: 479-3246 eMail: info@BeverlyTowne.com	Copyright © 1999-2004. All rights reserved. Last Revision: August 12, 2004 .
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