Registration

to attend the "amisr in africa" workshop at BC march 1-3, 2012

NOTE: The Workshop has finished. Registrations are now closed.

This workshop is by invitation only.

First Name

First name of registrant.

Last Name

Last name of registrant.

Title

Title of registrant.

Organization

Agency, College, University, Corporate affiliation of registrant.

Address 1

First line of street, building address of registrant.

Address 2

Second line of street, building address of registrant.

City

City of registrant.

State, Province

State or Province of registrant.

Postal Code

Postal or ZIP Code of registrant.

Country

Country of registrant.

Work Phone

Work Telephone of registrant.

Cell Phone

Cellular or Mobile Phone of registrant.

Fax

Facsimile machine number of registrant.

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