PSAC Edmonton Committee AGM’s, February 9th – 5:30 – 8:00 pm

Name *

First

Last

PSAC ID

Component

Personal Email *

Personal Phone Number *

Please include area code

Is the above Personal Phone Number a cell number? *

Cell Number

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

I will be attending the following meetings: *

Regional Women's Committee @ 5:30 pm
Human Rights Committee @ 6:15 pm
Edmonton Area Council @ 7:00 pm

Please select all that apply.

DIETARY NEEDS : light snacks will be provided, please let us know if you have any dietary restrictions by February 6th.

ACCESSIBILITY REQUIREMENTS FORM - Do you have a disability or disabilities? *

The PSAC is committed to accessibility and therefore we ask that you complete this form if necessary so that the PSAC can ensure your full participation at PSAC events. The form is confidential and the information provided will not be disclosed except where necessary to respond to your request for accommodation.

PSAC Edmonton Committee AGM’s, February 9th – 5:30 – 8:00 pm

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