Please complete the following form for
each registrant from your organization. Click "Submit" when you have competed the form.
Once the form is completed we will contact you by email within 48 hours to confirm your registration and arrange for payment by the method you select on the registration form.
If you have any questions, please email carly@brainstorm.ca
|
REGISTRANT Contact Information
1. First Name:
(as you would like it to appear on nametag / program materials)
|
|
2. Last Name:
(as you would like it to appear on nametag / program materials)
|
|
3. Organization:
(as you would like it to appear on nametag / program materials)
|
|
4. Email Address:
|
|
5. Job Title:
|
|
6. Department:
|
|
7. Telephone:
|
|
8. Address:
|
|
9. City:
|
|
10. State:
|
|
11. Zip Code:
|
|
12. Billing Information:
*Please enter the first name, last name, organization, email address and phone number of the contact to be billed, if different than registrant
|
|
Discounts
13. Please enter Discount Code (if applicable):
|
|
(25% discount for 3 or more registrants; 40% discount for 6 or more registrants)
|
|
15. Please list colleagues who will attending (if any):
*Please enter the names of all colleagues attending AND please ensure that each colleague completes a registration form
|
|
Payment Method
|
|
|
|
Other Details
17. How did you hear about the Campus Recruiting Forum?:
|
|
18. Special Requirements (i.e. accessibility or special meals):
|
|
19. Other Comments:
Once the form is completed we will contact you by email within 48 hours to confirm your registration and arrange for payment by the method you select on the registration form.
|
.png)
