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Workshop Registration Form
Registration fee is $30. Please make cheque payable to the Niagara District CUPE Council and mail to: Niagara Area Office, 110A Hannover Drive, Suite 101, St. Catharines, ON L2W 1A4 Attn: Keith Levere
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Name
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Please enter the first and last name of the participant
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Email Address
*
Please enter the email address of the participant.
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Mailing Address
*
Please enter the full mailing address of the participant including postal code
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Primary Contact Telephone Number
*
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CUPE Local Number
*
The number assigned to your Local. ie: CUPE Local XXXX
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Workshop Registration
*
Which workshop would you like to register for?
Financial Officers
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Payment Confirmation
*
Payment will be forwarded within 7 days of registration or space will be released
Payment will be forwarded according to registration requirements.
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Special Requests
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Please indicate if you have any allergies, dietary, access or mobility restrictions.
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