reg doc

1. Appendix A
33rd National Conference of Industrial Engineering
January 24th – 27th 2013
Hotel Omni Mont Royal, Montreal
Concordia University
Registration Document
Date: ___________ Chapter Name: ________________________
Number of delegates: _____ Estimated Time of Arrival: ____
Price per delegate: $325
Total Amount Due: $____
Name of delegates and room arrangement:
Last Name
First Name
Room
Last Name
First Name
Room

2. Last Name
First Name
Room

3. Last Name
First Name
Room
Last Name
First Name
Room

4. Last Name
First Name
Room
Last Name
First Name
Room

5. Last Name
First Name
Room