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HOME PAGE | THE BOARD OF TRADE | GETTING INVOLVED | OPERATION BACK TO SCHOOL - REGISTRATION FORM FOR SPEAKER
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OPERATION BACK TO SCHOOL

 

AND WHAT IF YOUR TESTIMONIAL COULD CHANGE SOMEONE’S LIFE?
THIS ACTIVITY WILL TAKE PLACE FROM MARCH 29 TO APRIL 30, 2010

 

REGISTRATION FORM FOR SPEAKER

REGISTRATION DEADLINE: FEBRUARY 26, 2010

Confirmation will be sent from March 15, 2010

 

 

Information:
Nicole Provençal
nprovencal@ccmm.qc.ca
Telephone: 514 871-4000, ext. 4087

 

 

Last name*:

First name*:

Position:

Professional corporation*:

Company or organization:

Address:

Floor / Suite:

City:

Postal code:

Telephone*:

Ext.:

Fax:

E-mail*:

Your company or organization’s sector of activity:

Your education field:

 

Your choice of high school
I wish to visit the following type of school (please check one choice per category):

 

Language:

 French           English           French or English
Region: No preference / Montréal region
  or
Montréal Island         South Shore           North Shore
Outside Montréal Island (East)         Outside Montréal Island (West)
Please indicate three dates and AM or PM, according to availabilities.
  1.  (Day/Month)      AM    PM
  2.  (Day/Month)      AM    PM
    3.  (Day/Month)      AM    PM

Are you available for more than one testimonial?    yes    no      (if yes how many? )

 

 

*: obligatory

 

 
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