DLI Conference Registration

Name

Role

Program / Organization

Street Address

Province

City

Postal Code

Dietary Restrictions
please list any food allergies or restrictions

User-Defined Formats for Print Materials
please indicate if you require printer materials in an alternative format

large print - preferred font size:

Payment Method

DLI will email you an invoice - please select your method of payment

cheque (mail)

credit card (online)

Parking Requirements

I need parking for the following days:

Thursday, November 2

Friday, November 22

Note: Wi-Fi and parking are included

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