registration form - engineers geoscientists manitoba · your assets are speaking, can you afford...

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Registration Form SUBMIT COMPLETED REGISTRATION FORMS TO: Engineers Geoscientists Manitoba, 870 Pembina Highway, Wpg, MB R3M 2M7 Phone: 204-474-2736 ext. 245 | Toll Free: 1-866-227-9600 www.EngGeoMB.ca | E-mail: [email protected] Please print clearly. Additional forms are available from our website at www.EngGeoMB.ca or through the Association Office Please supply conference material in alternative format Do you or your accompanying guest have any dietary needs or other considerations? If so, please specify: PAGE 1 OF 2 | REGISTRATION PAYMENT INFORMATION Total amount: *all prices subject to GST Payment By: Credit Card Cheque (made out to Engineers Geoscientists Manitoba) VISA MasterCard Expiry Date | MM YY American Express NAME ON CARD SIGNATURE REGISTRATION INFORMATION Mr. Ms Mrs. Dr. Other Contact Name FIRST NAME LAST NAME PROFESSIONAL DESIGNATION Company Address STREET CITY PROVINCE POSTAL CODE Phone E-mail Accompanying Guest FIRST NAME LAST NAME

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Page 1: Registration Form - Engineers Geoscientists Manitoba · Your Assets are Speaking, Can You Afford Not to Listen? U of M’s Design Build Collaboration with Shoal Lake 40 Ongoing Space

Registration Form

SUBMIT COMPLETED REGISTRATION FORMS TO:

Engineers Geoscientists Manitoba, 870 Pembina Highway, Wpg, MB R3M 2M7Phone: 204-474-2736 ext. 245 | Toll Free: 1-866-227-9600www.EngGeoMB.ca | E-mail: [email protected]

Please print clearly. Additional forms are available from our website at www.EngGeoMB.ca or through the Association Office

Please supply conference material in alternative format

Do you or your accompanying guest have any dietary

needs or other considerations? If so, please specify:

PA

GE

1 O

F 2

|

RE

GIS

TR

AT

ION

PAYMENT INFORMATION Total amount: *all prices subject to GST

Payment By: Credit Card Cheque (made out to Engineers Geoscientists Manitoba)

VISA MasterCard Expiry Date | MM YY

American Express

NAME ON CARD SIGNATURE

REGISTRATION INFORMATION

Mr. Ms Mrs. Dr. Other

Contact Name FIRST NAME LAST NAME PROFESSIONAL DESIGNATION

Company

Address STREET

CITY PROVINCE POSTAL CODE

Phone E-mail

Accompanying Guest FIRST NAME LAST NAME

Page 2: Registration Form - Engineers Geoscientists Manitoba · Your Assets are Speaking, Can You Afford Not to Listen? U of M’s Design Build Collaboration with Shoal Lake 40 Ongoing Space

Conference Registration

October 18

Pre-Registration Required. Includes:

• Continental Breakfast, Coffee Breaks and Lunch• 2 Keynote Presentations• Choice of 4 Seminar Sessions• Annual General Business Meeting• AGM Networking Reception

Recognition Wine and Cheese Reception x Individual Tickets $20

Wednesday, Oct 16 (ticket required)

Awards Gala Dinner x Individual Tickets $100

Friday, Oct 18 (ticket required) x Tables of 10 seats $900

Total:

Early-Bird (By Sept 23) $220

Regular Rate (Sept 24 - Oct 10) $275

Intern Rate $195

Student Rate $130

ASSOCIATION #

EVENT REGISTRATION

SOCIAL EVENTS

* ALL PRICES SUBJECT TO GST

Page 2 of 2

PA

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GIS

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Professional Practice Better Business Environment and

Climate

Technical Innovations Workplace Skills

9:35 -

10:25

Indigenous

Perspectives:

Historical and Present

Your Assets are

Speaking, Can You

Afford Not to Listen?

U of M’s Design

Build Collaboration

with Shoal Lake 40

Ongoing Space

Systems Research

at the U of M STARLab

Discovering the

Leader Within

10:40 -

11:30

Development

of Online

Professionalism

Modules

Alternative

Solutions

A First Nation

Leads the Way

to Clean, Renewable,

Local Energy

3D Scanning in

Construction

Enterprising

Women: A

Company of

One’s Own

11:40 -

12:25

Climate Change

Adaptation and

Resiliency into

Infrastructure Design

Community

Engagement -

What is Involved and

Why Does It Matter?

Making MB Green

Again – From

Myth to Reality

The Technology

Access Centre

(TAC) Model and

Success Stories

Your Money,

Your Retirement,

Simplifying the

Complex

1:45 -

2:35

Microaggressions

in Professional

and Educational

Settings

VR for Business UM-agBOT:

Engineering for

the Future Farmer

Aircraft Engine

Research and

Development in MB

at GE TRDC

Understanding

Yours (and

others’) Distinct

Personality

Choose 1 session per time slot. Place X in circle.

Professional Development Seminar Sessions:

Annual General Business Meeting Only Pre-Registration

Thursday, October 17 (Pre-Registration Required)Includes AGM Networking Reception