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Registration
Hackus 2012 Registration Form
Full name of administrative contact
*
First
Last
Email of the administrative contact
*
Registration type
*
TEAM
ALONE
For logistics's reason, teams up to 8 people can be made. Teams of 3 or less will be grouped in teams of 8.
Team Informations
To pay the registration separately, please enter the information of all team members.
Then in the
Quantity
field, enter the number of entries you wish to pay immediately.
A payment request will be sent to team members to complete the registration.
Team members list
*
Fullname
Email
Size
Please enter team members name and their emails.
Tshirt size are: S, M, L, XL, XXL, 3XL.
Team name
*
Team logo
125px/125px (PNG only)
Payment via PayPal
Registration fee
*
Price:
$ 100.00 CAD
Quantity:
Total
$ 0.00 CAD
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French
English
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(
French
)
