Registration Form

To register for a workshop, please complete and submit the following form. A confirmation of registration and invoice will be sent to you at the email address you provide. To have someone copied on this correspondence, include their email in the cc email section below. Please allow for 1-2 business days for your registration to be processed.

Privacy Statement: Any information received from CEC workshop registrants is exclusively for CEC administrative purposes and not shared with any outside organization.

Name *
First Last
Workshop
Date
Organization / Government Agency *
Department *
Position *

Address

Street Address
Street Address Line 2
City	Province / State
Postal / Zip Code	Country

Phone Number *
- Area Code Phone Number
Extension
E-mail *
cc E-mail
Additional Information/Comments
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