Registration for the PSAC-NCR Council meeting – Winter 2024..

DELEGATES

PSAC ID *

First Name *

Address *

Province *

Email *

Telephone (work) *

Local *

Credentials *

Approvers email *

Alternate name

Last Name *

City *

Postal Code *

Telephone (home) *

Component *

Approvers name *

Approvers phone *

Alternate email

OBSERVERS

PSAC ID *

First Name *

Address *

Province *

Email *

Will be used to confirm registration

Local *

Name of Local President *

Email of Local President *

Last Name *

City *

Postal Code *

Telephone *

Component *

Credentials *

Phone Number of Local President *