CULA Conference Registration

* Denotes Required Field
If you want to edit the already registered information, enter email here to retrieve and edit:

Step 1 of 4

Booker name:
(if you are NOT part of this registration enter your name here):

Registrant name: * Used for billing as well
Email address: *
Credit Union: *
Position:
Telephone:
Fax:
Street:
2nd Line (Suite/PO Box, etc):
City:
Province:
Country:
Postal code:

Step 2 of 4

If you are the first attendee from your credit union to sign up please select here: ($995)

If someone has already signed up from your credit union and you are an additional attendee please select here: ($795)

Check if you would like to donate a prize:

Register companion?:

($450)
Companion name:

Step 3 of 4

Register how many other attendees?: (enter a number then press the TAB key) ($795 each)
First Name: Last Name:
Email:
Register companion?: ($450)
Companion name:

Step 4 of 4 Confirm your order

Booker Name:
Registrant Name:
Email:
Credit Union:
Position:
Telephone:
Fax:
Street:
2nd Line Address:
City:
Province:
Country:
Postal Code:
Signup Type:
Donate Prize?:
Bringing a companion?
Companion Name:
Bringing how many other attendees?

Attendee
Attendee Name:
Attendee Email:
Register companion?:
Companion name:

Sub Total:
Sales Tax:
Total Due:

Confirmation


 
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