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The Ambassador Program - Membership

This Application is to Nominate a Colleague
(Nominators: Please include your contact information in the comments section below.)

The Ambassador Program accepts applications for membership from individuals who are engaged in promoting the Halifax Regional Municipality as a destination of choice for meetings, conferences, tradeshows and special events.

* = a required field

Contact Information

First Name*
Last Name*
Company
Address 1
Address 2
City
Province/State
Telephone*
Fax
Email*

Association Information
(For which you are considering hosting a meeting, conference, special event, etc)

Association Name*
Association Website
Month & Year of possible Association Event for Halifax *
Number of Delegates expected
Position Description (please provide title to, or description of the role you fill in the association)

Comments

Memberships you hold in other Associations and position held.

Association Name	Position

Yes I would like to receive Ambassador Program e-newsletter.

Featured Program Member Jean-Paul Deveau

Acadian Seaplants Limited

read this members bio

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