Symposium Registration

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Information

(Fields marked * are required.)

Your Name *

Name for Name Badge (if different than above)

Your Organization *

Your Email *

Your Address
: Street *
: City *
: PostalCode *

Phone Numbers (eg. 705-474-3450 1234)
: Home Phone *
: Business Phone
: Fax

Emergency Contact *
Name and Phone Number

Special Requirements (ie: dietary, mobility, etc.)

Workshops and additional Activities

Friday December 5, 2014

6:30 p.m Wabora Japansese Fusion Restaurant – Japanese, Seafood, Sushi (295 Wellington St. North, Bracebridge, ON). Walking distance from Nipissing Muskoka Campus.

Saturday December 6, 2014

Symposium 9:00am-3:00pm (Nipissing University- 125 Wellington Street, Bracebridge, ON)

Questions?

If you have questions, please contact Zainab Lulat (zainab.lulat@uoit.ca).

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