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Centre for Education and Research on Aging
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Online registration
Please complete the following to register for the symposium on October 15, 2010:
Page 1 of 1
First name:
Last name:
Email address:
Gender:
Female
Male
City of residence:
Abbotsford
Chilliwack
Mission
Hope
Agassiz
Langley (incl. Aldergrove, Ft. Langley etc.)
Maple Ridge/Pitt Meadows
Surrey (incl. Cloverdale, White Rock etc.)
Harrison Hot Springs
Other
Would you be interested in shuttle transportation if we have enough people coming from a single location?
Yes
No
Number in your party (for catering planning purposes):
Thank you!
We look forward to seeing you on October 15 in Abbotsford.
Session Expiry
Your session will expire in:
60 seconds
, Do you wish to extend your session?
Your session will expire in: