Mobile Money Canada Registration

(*Required)

Mobile Money Canada will occur on September 21, 2010. All interested attendees must register online to be considered for admission to the conference. Our capacity is limited, so please register early to avoid being left out. We will review your application and, once accepted, you will receive a confirmation within a few days. Only those who have received a positive confirmation will be able to attend

	*First Name:
	*Last Name:
	*Company:
	*Job Title:
	*Phone:
	*Email:
	*Address:
	*City:
	*State / Province:
	*Postal Code / Zip:
	*Home Country:
	*Please tell us why you want to attend Mobile Money Canada: (Max 250 words):
	*Are you interested in being a sponsor or speaker? If so, please tell us how you would like to get involved. (Max 250 words):
	*Which of the following applies to you:
	*Other is:
	*Job Area Responsibility:
	Mobile Money Canada would like to provide you with timely information about our events and industry news via e-mail. Of course, we will design these e-mails to be both useful and relevant to you. May we send you updates via e-mail?
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By clicking on Submit, you are providing your consent for Mobile Money Canada to release your Company Name, and Position Title for marketing purposes. Please note that Mobile Money Canada does not release names or contact information to any third party under any circumstances.


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