Event Registration

Western Logo

Please join Dr Janice Deakin for a reception
celebrating the appointments of Glen Tigert and Angie Mandich

on Wed. April 30, 2014 at 4:30-6pm at the Lawrence Centre Atrium

First Name:

Last Name:

Email:

Department:

"I will attend" "I cannot attend"

Please contact Gayle Stuebing if you need to make late changes to your registration
or call extension 83109