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CAUT Equity Conference

Mobilizing Intersections

Registration

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Association / Union / Institution

Participant Information

First Name

Last Name

Address (home)

City

Province

Postal/ZIP Code

Telephone (Cell)

Emergency contact

Please provide the participant's personal emergency contact that can be reached anytime, including evenings and weekends.

Name

Phone Number

Dietary needs

Please indicate dietary needs or check Not Applicable.

Vegetarian
Allergies
Food Restrictions
Other
Not Applicable

Special needs

Please indicate special needs or check Not Applicable.

Accessibility
Environmental Scent Allergies
Other
Not Applicable

Meeting Kit

In an effort to reduce paper waste, all meeting materials will be available on-line and distributed on a flash drive at the registration desk. Please note that complimentary Wi-Fi will be available in the meeting room. If you would prefer to receive a paper copy of materials kindly select this option.

Printed

Registration fee

Registration ($425.00 + $55.25 HST)

Students ($150.00 + $19.50 HST)

HST Registration NO 10684 2883