Workshop Registration Form
Registration fee is $75.00 for affiliated locals, $90 for non-affiliated locals. The registration fee includes course materials, coffee, tea and snacks for breaks and lunch on Saturday. If members have dietary restrictions beyond vegetarian, the workshop fee is reduced to $50 to allow members to bring their own lunch and snacks.

Please make cheque payable to the Niagara District CUPE Council and mail to:

Susan Schmidt
c/o Niagara Area Office
110A Hannover Drive, Suite 101
St. Catharines, ON L2W 1A4
Name *
Please enter the first and last name of the participant
Your answer
Email Address *
Please enter the email address of the participant.
Your answer
Mailing Address *
Please enter the full mailing address of the participant including postal code
Your answer
Primary Contact Telephone Number *
Your answer
CUPE Local Number *
The number assigned to your Local. ie: CUPE Local XXXX
Your answer
Workshop Registration *
Which workshop would you like to register for?
Payment Confirmation *
Payment will be forwarded within 7 days of registration or space will be released
Special Requests *
Please indicate if you have any allergies, dietary or mobility retrictions.
Your answer
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