Delegate Registration

CUISA Conference 2022

Fairmont Chateau Whistler, Whistler, BC

June 14 – 16, 2022

 

    * 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)


    $

    x

    Additional Staff or Spouse @ $250/person


    $

    x

    Gala Banquet Dinner @ $100/person


    $

     

    TOTAL PAYMENT DUE
    Payable to CUISA at:
    CUISA, #904 – 1641 Lonsdale Ave
    North Vancouver BC V7M 2J5
    Or by EFT please contact dave@cuisa.com

    $

    Additional staff or spouse:

    Name of Staff or Spouse #1

    Name of Staff or Spouse #2

    Name of Staff or Spouse #3

    Name of Staff or Spouse #4

    Name of Staff or Spouse #5

    Food Allergies

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