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Webinar Registration Form

Participant Information
Title *
Last Name:*
First (Given) Name:*
Middle Name:
Preferred First Name:
Email Address:*
Assistant's Email Address:

Register me for the following webinar(s): *

Please send me updates from CHERD, Extended Education, University of Manitoba
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Your personal information is being collected under the authority of The University of Manitoba Act. The information you provide will be used by the University for the purposes of registration, communication, and to facilitate payment. Your personal information will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the Access & Privacy Office (tel. +1 204 474-9462), 233 Elizabeth Dafoe Library, University of Manitoba, Winnipeg, MB, R3T 2N2.