Registration

BCAFN Rural & Remote Economic Development Forum

Name(Required)

First Last

First Nation/Organization(Required)

Role/Job Title(Required)

Mailing Address(Required)

Street Address Address Line 2 City ZIP Code

Email Address(Required)

Email Address Confirm Email Address

Alternate Email Address

Email Address Confirm Email Address

Phone(Required)

Alternate Phone

I will be attending(Required)

I have read the travel policy for the BCAFN Rural & Remote Economic Forum(Required)

Yes

Please list any food allergies/dietary restrictions

Your Comments/Questions