CCSBE 2011 Student Registration
Salutation:
Mr.
Mrs.
Ms.
Miss
Prof.
Dr.
*
First Name:
*
Last Name:
*
Company/Affiliation:
*
Position:
*
Address:
*
City:
*
Province/State:
*
Country:
*
Postal/Zip Code:
Phone:
*
E-Mail:
School Name:
Program of Study:
Student Number:
*
Level:
Undergraduate
Graduate
PhD
PhD students who attend the doctoral consortium will be granted a one year membership to CCSBE free of charge.
*
Are you planning to attend the doctoral consortium:
Yes
No
Please provide the following information regarding your doctoral program.
*
Area of Interest:
*
Research Focus:
*
Supervisor:
*
Expected Completion Date:
Registration Type
Regular
Student (3 days)
$250 + HST = $282.50
IMPORTANT NOTE: Partial refunds are not available. Full refunds for cancellations are available up to August 31, 2011. After this date, no refunds will be available.
