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Registration Form

Please fill out the following form.

This form will be directed to the IEEE Canada Administrator, Mrs. Cathie Lowell, with a copy to the Regional SAC Chair and the Regional Student Representative for Region 7.

Fields marked with an * are required.
School:*
Name:*
Email Address:*
Member Number:*
Group members:
Please provide full name, email address
and member number for all members:
counsellor:
Telephone:
Corresponding Language:*
Please note if you have any questions, they will be answered only in English!
English:
French: 
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Last update / 2005-06-02 / la dernière mise à jour

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