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2021 Virtual CAMIC Conference Registration

$150 (132.74 + HST) per delegate

Please make payment by cheque or by electronic fund transfer.

For electronic Fund Transfer (EFT):

00107 829 083266-7

Transit Institution Folio

Please send a payment notice to sdionne@camic.ca

1.Company name and address (important)

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

2.Please enter the delegate's name and email address that will be used on October 4-6, 2021.

Delegate 1

Delegate 2

Delegate 3

Delegate 4

Delegate 5

Delegate 6

Delegate 7

Delegate 8

Delegate 9

Delegate 10

3.Total amount

$150

$300

$450

$600

$750

$900

$1,050

$1,200

$1,350

$1,500

Other (please specify)

Current Progress,

0 of 3 answered

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