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Assembly of First Nations, Building on Success Conference Whitehorse, Yukon

2010 Conference Registration - September 14 - 16

  • Register (after August 6, 2010)
  • Per Delegate: $599.00 Plus G.S.T. where applicable.
  • One form must be completed by each registrant.
  • If registering more than one person, email a list of names to: register@buildingonsuccess.ca
  • *=mandatory field

 

Prefix: *
Family Name: *
Given Name/s: *
Preferred name tag:
Department:
Organization:
E-mail Address: *
Phone Number: *
Street Address: *
Address Line 2:
City: *
Province/State: *
Postal / Zip Code *
Country: *
Sept. 14, 4:30p.m. Special Sessions *
Sept. 15, 11:00a.m. Breakout Sessions *
Sept. 15, 2:45p.m. Breakout Sessions *
Are you attending the Cultural Night?yes
no
Do you have any special requirements / requests?

Verification Code:
Enter Verification Code: *

* Required