INNOCREX

Transforming organizations by managing for INNOvation, CReativity, and EXcellence

PLEASE PRINT OUT AND FAX THIS FORM TO:   (819) 682-1570

OR SEND TO:   INNOCREX, 49, RUE  NORVAL-JONES, GATINEAU, J9H 7H2, QUÉBEC, CANADA

Workshop Registration Form

Name:___________________________________________________________________________

Organization:_____________________________________________________________________

Address:_________________________________________________________________________

Tel: (         )__________________________________Fax: (          )__________________________

Email:___________________________________________________________________________

Title:_______________________________ Department:__________________________________

Please enroll me in the following workshop(s):

Workshop title	Date(s)	Fee
		$
		$
		$
		$
		$
Discount (if applicable)		-$
TOTAL:		$

Payment Method: Cheque payable to INNOCREX

Back to Innocrex HOME (Innocrex ACCUEIL)or Registration Page (S’inscrire Page))