Events Registration - CSCE Calgary

Event Information

Please Note: Online payment is now available. You will have the option of using this new service after pressing the Submit button
Please call Marlen Buitelaar at (403) 351-6203 if you have any questions on this.

Event Name: *	Please select one or more Events from the scrollable list above: Note 1: Click an Event for further information Note 2: Select Event(s) using Mouse, Ctrl+Mouse and/or Shift+Mouse
Event Name:
Date:	Time:
Cost:
Notes:
Event Website:
Contact:

Attendee Information

Prefix:

	Prefix:
Please select one item from the above and/or type your Prefix in the text box.

First Name: *

Middle Initial or Name:

Last Name: *

Suffix:

	Suffix:
Please select one item from the above and/or type your Suffix in the text box.

Member Status: *

Member Student NonMember

Please select a Society: *

CSCE CGS CSEM ASCE PMI ASET

Other Society: Society Member #:
Note: If you select Member above, you MUST select a Society and enter a valid Member #

Organization or Institution: *

Your Title:

Dietary:

Vegetarian

Contact Information

E-mail Address: *

Phone:

Office Home Please enter as: (###)###-####

Mailing Address:

Notes & Comments:

Note: ALL fields marked with an * are required

Please double check your information. When you are satisfied, press the Submit button.
Note: You will be given the option of online payment on the confirmation page after pressing the Submit button

Repeat the above process for each individual registering for an event.

Events Registration - CSCE Calgary

Event Information

Event Name: *

Event Name:

Cost:

Notes:

Event Website:

Contact:

Attendee Information

Prefix:

Prefix:

First Name: *

Middle Initial or Name:

Last Name: *

Suffix:

Suffix:

Member Status: *

Please select a Society: *

Organization or Institution: *

Your Title:

Dietary:

Contact Information

E-mail Address: *

Phone:

Mailing Address:

Notes & Comments: