rsc

Name*

First Last

Job Title*

Email*

Phone*

Fax

Company*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

1. Choose the show(s) you are registering for:*

Vancouver, BC (March 4, 2020) - Executive Airport Plaza
Mississauga, ON (New Date TBD, 2020) - Mississauga Convention Centre
Sarnia, ON (New Date TBD, 2020) - Dante Club
Saint John, NB (New Date TBD, 2020) - Hilton Saint John
Regina, SK (September 22, 2020) - Delta Regina
Winnipeg, MB (September 24, 2020) - Victoria Inn
Ottawa, ON (October 7, 2020) - Nepean Sportsplex
Lethbridge, AB (October 27, 2020) - Lethbridge Lodge

Do you plan on attending the Vancouver Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

Do you plan on attending the Mississauga Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

Do you plan on attending the Saint John Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

Do you plan on attending the Sarnia Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

Do you plan on attending the Winnipeg Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

Do you plan on attending the Regina Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

Do you plan on attending the Lethbridge Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

Do you plan on attending the Ottawa Breakfast? Breakfast runs from 9:30 AM - 10:15 AM.*

Yes, I will be attending Breakfast
No, I will not be attending Breakfast

2. Yes! I Want To Receive (Or Continue To Receive) A FREE Subscription To Canadian Process Equipment & Control News.*

Yes
No

How would you like your magazine delivered?*

3. Which of the following best describes your organization?

Industry Group:*

Specific Industry (Industrial Chemicals):*

Specific Industry (Pulp & Paper):*

Specific Industry (Petroluem, Coal & Natural Gas):*

Specific Industry (Primary Plastics):*

Specific Industry (Metals Processing):*

Specific Industry (Food Processing & Beverage Mfg.)*

Specific Industry (Non-Metallic Minerals):*

Specific Industry (Pharmaceuticals & Medicines):*

Specific Industry (Detergents, Toilet Preparation, Soaps & Cleaning):*

Specific Industry (Rubber & Rubber Products):*

Specific Industry (Protective Coatings):*

Specific Industry (Thermal Utilities):*

Specific Industry (Textile Industries):*

Specific Industry (Construction Firms):*

Specific Industry (Government Engineers):*

Spcific Industry (Educational Institutes):*

Please Specify:*

4. FOR AUDIT PURPOSES ONLY

In lieu of a signature, please answer the following question.

What is the first letter of the month in which you were born?*

Reader Service (RSC)

Pre-Registration