ASITA 2017 Registration

Registration cost: $300 CDN (Tax included); covers conference registration, continental breakfasts, lunch and event banquet)

Extra banquet guest: $50 CDN (Tax included)

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

1 Start 2 Review your order 3 Complete

First name * (required)

Last name * (required)

Email address * (required)

Company/Institution * (required)

Address

Postal Code/ZIP(+4) code * (required)

Country * (required)

Address * (required)

Address line 2

City * (required)

Province/State

Number of additional banquet tickets * (required)

If you would like to bring additional people to the banquet, select the number of additional tickets here. Your ticket is already included with registration.

Additional notes

Leave this field blank