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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