Please complete this form and click the Submit button to electronically record your information. * denotes required fields.

First Name:*
Last Name:*
Position/Title:
Were you registered in previous years?	Yes No   if Yes, how many?
Mailing Address1:*
Mailing Address2:
City:*
Province:
Postal Code:*
Day Phone:*
Extn:
Fax:
Email Address:*
Please describe your planned WRW activities and ongoing waste reduction initiatives. These activities will be listed on the national website for the purpose of promotion so let us know if you do not want this information listed.

Do you know someone who would like to register? Please send them this link.