CUPC '07 Grad Fair Registration

University:

Department:

Main Contact E-mail Address:

Mailing Address
Street:
City:
Province:
Postal Code:

Delegates
Each University department may send up to 2 delegates. Please give the names of the delegates you will be sending. Please note that if your delegates wish to attend any part of the conference beyond the graduate fair, THEY MUST ALSO REGISTER FOR THE CONFERENCE SEPARATELY.

Delegate 1:

Name:

E-Mail Address:

Gender
Male:
Female:

Will this delegate be attending part or all of the full conference (If yes, please register here.)?
Yes:
No:

Delegate 2:

Name:

E-Mail Address:

Gender
Male:
Female:

Will this delegate be attending the full conference (If yes, please register here.)?
Yes:
No:

Additional Comments
If there is anything else you think we should be informed of, please let us know here.