System Integration Symposia and Exhibits  (SIS-EX2005)

September 22 & 23, 2005

International Centre, 6900 Airport Road, Mississauga, Ontario, Canada 

To register for attending this event, please contact Carolyn Sevier at 416-748-7257 or print this registration form and fax it to 416- 748-8519

FAX REGISTRATION FORM

First Name                                                                 Last Name
[                                                     ]	[                                                                                      ]
Company	Title	ISA Membership Number
[                                                     ]	[                                    ]	[                                              ]
Street Address	City	Province/State
[                                                     ]	[                                    ]	[                                              ]
Postal Code/Zip	Country	Phone
[                                                     ]	[                                    ]	[         ] - [             -                 ]
VISA Number	Expiry Date	Card ID # (see below)
[                                                     ]	[                                    ]	[                                              ]
Email	[                                                                                      ]
The registration fee is non refundable. For the Symposia you will be charged $65 if you are an active member, or $80 if you are not a member of the ISA.  You agree to pay this event registration fee and instruct VISA to make this payment on your behalf. If you are attending the show, and not the Symposia, there is no charge, but we encourage you to register anyway, so that we have an idea of how many will be attending the event.

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