CariCRIS Training Workshop Registration Form

Training Workshops - *Please choose one*
No. of Participants:
Group Discount Applicable
Group discounts are applied as follows:
• 5% discount for groups of two (2) participants
• 10% discount for groups of three (3) or more participants

Applicable regional taxes will be calculated and reflected on the official invoice issued by Finance.
Company Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Telephone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Wire Transfer Details

Fees exclude VAT and any applicable withholding taxes.
Participant Details

Please provide participant information.
Name & Job TitleContact No/Email
Name & Job TitleContact No/Email
Name & Job TitleContact No/Email
Name & Job TitleContact No/Email
Name & Job TitleContact No/Email
Name & Job TitleContact No/Email
Section 4: Submission
Name & Job Title

First NameJob Title
Date

MonthDayYear
Date
Signature
Should be Empty:

Wire Transfer Details