2019 Register

LACUS 2019 Registration Form

The University of Waterloo, Waterloo, Ontario, Canada
July 23-26, 2019 Registration

Please fill in this form and submit it online.

You must also pay when you register. See
2019 Conference > 2019 Pay Registration
at left. Rates are listed there.

LACUS 2019 Registration Form

* Indicates required field

Name *

First

Last

Institutional Affiliation *

Full Mailing Address *

Telephone *

Fax *

Email *

Travel Information

Date and Approximate Time of Arrival *

Date and Approximate Time of Departure *

How will you be traveling to LACUS? *

By car By air Other

Please specify if "other" *

Will you need parking? *

Yes No

Do you expect to attend the LACUS Presidential Banquet? *

Yes No

SUBMIT