Registration form – (Federal government)

Training activities

One participant per registration form please.

Training

Name of organization:

Branch Name:

IS Organization Code:

IS Reference Code:

Consignee Code:

Translation Bureau Client Reference number (xxx-xx-xx):

Name and title of supervisor:

Supervisor Address:

Supervisor Phone:

Supervisor Fax:

Supervisor Email:

Name and title of participant:

Participant Address:

Participant Phone:

Participant Fax:

Participant Email:

Course Code:

Dates – 1^st choice (optional)

Dates – 2^nd choice (optional)

Fees^*

Contact person for billing purposes:

Contact person Name:

Contact person Address:

Contact person Phone:

*Where applicable, taxes will be included in the invoice.

A 20% discount is available to members of a recognized professional association. To receive the discount, proof of current membership (e.g. a photocopy of the membership card) is required.