CANARIE Summit 2019

CANARIE Summit 2019
Tuesday, October 1st and Wednesday, October 2nd, 2019
Your Info
Begin Registration
Registrant info
What type of registrant are you?

* Salutation
* First Name
* Last Name
* Email Address
* Repeat Your Email Address
* Company / Institution Name
Phone Number
Street Address
* City
* Province / State
Postal / Zip Code
* Country
* Job Title:
Is your organization a CANARIE Member? If your organization does not appear in the list below, please choose the last option, “No, my organization is not a CANARIE Member”.
Please identify your role(s) at the CANARIE Summit.
 Delegate / Attendee
 Innovation Alley Exhibitor
 CANARIE Board of Directors
Please select your industry/field:
* How would you like your name to appear on your badge?
* Will you attend the CANARIE Reception on Tuesday, October 1st from 5:00 - 7:00 PM?
Do you have any dietary restrictions? If yes, please list them below:
How did you hear about the CANARIE Summit?
 CANARIE Website
 Social Media
 Personal Invitation
 Word of Mouth
 CANARIE Email List
If you answered 'Other' to the question above, please explain.
* Do you consent to being added to CANARIE´s email communication list?
* Do you consent to having your name and email address given to exhibitors and/or sponsors?
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