Delegate Course Registration Go Back to Courses

Course Registration Form

Company Information


Company
Department
Address
City Province
Postal Code
 
 

 Primary Contact Person

Only the primary contact person will receive receipts and delegate registration details.
First Name Last Name
Phone Fax
Email Confirm Email

Payment Information



Payment Type

Credit Card Information
VISA
Name On Credit Card
MasterCard Credit Card Number No spaces, numbers only
  Credit Card Expiry
 Are you GST Exempt?
GST Exemption Number
(Province of Manitoba Employees Only)

NOTE: In order to help maintain the best possible rates using our online registration, ALL online registrations are required to be paid for at the time of registration. If you prefer to pay via cheque or cash, please contact 204-775-3171 to arrange your prepayment options.

How many delegates will you be registering now?