YOUR MONEY SEMINAR
REQUEST FORM
TO:
Gillian Clarke, Coordinator, Your Money
Canadian Bankers Association
416-362-6093 ext. 260
yourmoney@cba.ca
FROM:
FAX #:
416-362-8465
DATE:
Upon receipt of this fax / e-mail, you will be contacted to confirm the details of your seminar request.
Please note, we require a minimum of three weeks’ notice to arrange a Your Money seminar.
Please complete all fields below. If you have multiple seminar requests, please fill out a form for each
request.
CONTACT INFORMATION
SALUTATION:
Mr.
Mrs.
Ms.
Miss
NAME:
E-MAIL ADDRESS:
ORGANIZATION:
ADDRESS:
(STREET)
(CITY)
TELEPHONE & EXT.:
(PROVINCE)
(POSTAL CODE)
FAX:
SEMINAR REQUEST INFORMATION
PREFERRED SEMINAR DATE:
PREFERRED SEMINAR TIME:
(HOUR)
(MIN)
(AM/PM)
ALTERNATE DATE:
MODULE:
(CHOOSE ONE)
Cash Management: Making the Most of Your Retirement
Financial Abuse: Protecting Your Money and Yourself
Fraud Prevention: Know the Signs, Empower Yourself
# OF PARTICIPANTS:
AUDIO-VISUAL PREFERENCES
POWERPOINT: DO YOU HAVE ACCESS TO A SCREEN & PROJECTOR THAT CAN BE CONNECTED TO A LAPTOP?
(Y / N)