DuPLEX Registration PHP - BETA - V2
August 26th - 28th, 2005. Winnipeg, Manitoba.

Basic Info

Name:

E-mail:

Address:
(Street Address, City, Province/State, Postal Code/Zip Code)

Phone Number:
INCLUDE YOUR AREA CODE

Event Info Please select your registration type

I am a:

If you have ordered a t-shirt, please select a type and size:

  • Type: Men's Women's
  • Size:

Early Bird Registration includes food for the Sunday Afternoon BBQ. Please indicate any dietary requirements and allergies:

  • Vegetarian? yes no
  • Food allergies:

Housing Info

Do you require housing? Yes No
Can you provide housing? Yes No

  • If so, how many people can you comfortably host?

If the answers to the previous two questions was "NO" please skip the rest of the housing section

If you don't live in Winnipeg (and the surrounding areas), how are you arriving?

Planes, Trains, or Automobiles Don't know yet

  • Would you like for us to put you in contact with other participants driving to Winnipeg for to facilitate carpooling? no yes
  • If flying, we have arranged a 10% Conference discount with West Jet for travel between August 23rd to September 1st, 2005 to and from Winnipeg. Please contact them at 1-888-493-7853 and mention our account number QC #3057. Westjet flight schedules are available from their website. Please let us know if you need to be picked up from the airport.
When do you plan on arriving?
When do you plan on leaving?

Please specify your housing requirement/situations below:

Non-Smoking
No dogs
No Cats

Additional Allergies? Please list:

I have a car and can drive people
I have parking for a visitor's car

How late do you plan on staying out every night?

12am, 1-2am, 3-4am, Sleep is for the weak
How early do you get up in the morning?
Sunrise, 8am, 10am, Noonish
I have spare bedding/I am bringing my own bedding supplies
Favourite Breakfast Cereal:
Extra Do you plan on attending post-DuPLEX camping activities from August 29th-September 1st? yes No