Registration Form
International Women's Day 2003

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Workshops | Agenda | Conference Information | Registration Form

Please complete this form to register for International Women's Day.

Last Name
First Name
Department
Location
Email Address
Fax
Phone
Worksite Coordinator *required*
Select Your Morning Workshop
Please indicate a **second choice**
Select Your 1st Afternoon Workshop
Please indicate a **second choice**
Select Your 2nd Afternoon Workshop
Please indicate a **second choice**
***Access Requirements + ***
Comments
  

* It is necessary to indicate a Worksite Coordinator as confirmation is sent back to them directly. Amendments, additions and deletions will also need to be processed through the worksite coodinators.

** It is important to indicate a second choice in case your first choice is not available.

*** Please indicate any requirements you may have including if you need ASL interpreters. ASL will be provided on request only.

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If you need information on your department worksite coordinator contact Jo-An Richard.

If you are having difficulties with this Registration form or require IWD registration information contact Rhonda Doyle LeBlanc.