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Event / Program Registration - PoCo Heritage

The Port Coquitlam Heritage
and Cultural Society


150-2248 McAllister Avenue
Port Coquitlam, BC
V3C 2A5
(604) 927-8403

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info@pocoheritage.org

Event / Program Registration

You are requesting pre-registration for the following event or program;

Event Title:
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Sorry, no event data was found, please go to events calendar and select an event or program to register for

CONTACT INFO * indicates required
*Name:
Address, City:
Phone (Home):
Phone (Work):
Phone (Mobile):
*Email:
Number Attending:
INFORMATION RELEASE
YOU MUST CHECK THIS. I consent to release the information supplied above to the Port Coquitlam Heritage and Cultural Society (PoCo Heritage) for the purposes of registering for an upcoming event or program. I am aware that this information will not be made availagle to third parties without my knowledge.
Please add me to your mailing list so I can be kept aprised of upcoming events, programs and volunteer opportunities.
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