Workplace Health Works!

March 24 and 25, 2003

Registration form


Please complete the form below to register to the Workplace Health Works! seminar.
Information about the seminar >>

Name
Title
Organization
Street Address
City
Province
Postal Code
Country
Work Phone
FAX
E-mail

Affiliation:

Business
Labour
Government
Other

Dietary Restrictions:


Will you be attending?

Evening Session - March 24
Evening Reception - March 24
All Day Sessions - March 25
Lunch - March 25

Payment information:

Credit Card (A CLBC staff member will telephone you within 48 hours to obtain your credit card information.)
Cheque (Please send your cheque by mail at CLBC 340 Maclaren Street, Ottawa, ON, K2P 0M6)
Pay on site