Publicforumsapplicationform Public Forum Presentation Application Form Location: Lillooet – Aug. 18, 2010 Campbell River – Aug. 25, 2010 Prince Rupert – Sept. 1, 2010 Steveston – Sept. 13, 2010 Nanaimo – Sept. 14, 2010 Victoria – Sept. 16, 2010 New Westminster – Sept. 20, 2010 Prince George – Sept. 23, 2010 Chilliwack – Sept. 29, 2010 Kamloops – Oct. 21, 2010 Please choose the forum you would like to attend. First Name: Please provide your first name. Last Name: Please enter your last name. Address 1: Please provide your address. Address 2: City: Please provide your city name. Country: CanadaUnited StatesOther Province: British ColumbiaAlbertaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code: – Please enter your postal code. State: Select a State…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Please enter your state. Zip Code: – Please enter your zip code. Country Name: Please provide your country name. Postal/Zip Code: Please enter your postal/zip code. Phone Number: Please enter your phone number. Email Address: Please enter your email address. Presentation Topic:(Please make reference to question(s) and/or mandate topic being addressed in 2 to 3 sentences.): Please enter what your presentation is going to be about.