Online registration

 

39th ICMA Conference Registration Form

April 10 – 13, 2017

Toronto, Ontario

Fields marked with * are required

First Name * Middle Name Last Name *

Email * Phone *

City * State/Prov.* Zip/Postal Code*

Country *

Company or Institute Affiliation

Emergency Contact Name
Emergency Contact Phone

Will you have a spouse/guest accompanying you to Toronto?  Yes No

If yes, Spouse/Guest name you would like to be displayed on the name tag
Spouse/Guest’s Full Name:   

Will you and your spouse/guest request a room reservation within the ICMA hotel block during the conference?  Yes No

If no, which hotel will you be staying at?           

Are you and your spouse/guest interested in a tour of Toronto or surrounding area ?
 Yes No

Total number of people from your party interested in attending a tour:

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