Delegate Registration

CUISA 2018 Conference

Delta Grand Marriott Kelowna



June 12–14, 2018

Conference Registration

* Required fields

First Name*
Last Name*
Company*
Address*
City*
P/Code*
Telephone*
Fax
Email*


FEES

1 Full or Partial Conference Package (not including Gala Banquet) $

(#) Additional Staff or Spouse @ $250/person $

(#) Conference Activity: Private Wine Tour, June 12 (space is limited ) $55/person $

(#) Gala Banquet Dinner (June 13, 2018) @ $75/person $
Please list any food allergies for attending guests
  TOTAL CHEQUE ATTACHED (payable to CUISA)

Mail to: CUISA, 2ndth Floor, 1441 Creekside Drive, Vancouver, BC V6J4S7
$


Please list the names of additional staff or spouse attending:

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