2024 ANNUAL MEETING DELEGATE REGISTRATION2024 Annual Meeting Delegate RegistrationPERSONAL INFORMATIONTitle Mr. Mrs. Ms.Legal First NameLegal Last NamePreferred Name for Name Tag (If different than legal name)Preferred Last namePhone NumberMobile NumberEmail AddressCo-op you are Representing- Select -Fort Good Hope Co-opGreat Bear Co-opGrise Fiord Co-opHall Beach Co-opIgloolik Co-opIkahuk Co-opIkaluktutiak Co-opIle-a-la-Crosse Co-opIssatik Co-opKapami Co-opKatudgevik Co-opKimik Co-opKissarvik Co-opKoomiut Co-opKugluktuk Co-opLutsel K'e Co-opMitiq Co-opNaujat Co-opOld Crow Co-opPadlei Co-opPaleajook Co-opPangnirtung Co-opPitsiulak Co-opQikiqtaq Co-opSanavik Co-opTaqqut Co-opTetlit Co-opTudjaat Co-opTulugak Co-opTununiq Sauniq Co-opUlukhaktok Co-opWest Baffin Co-opYellowknife Co-opDo you have any allergies or dietary restrictions? Yes NoIf yes, please explain.Have you attended an Arctic Co-ops/Arctic Co-op Development Funds Annual Meeting within the last three years? Yes No, I'm a new Delegate **Note: New Delegates are required to attend the New Delegate Orientation on Wednesday, March 1st at 8:00amLANGUAGESIn what language would you like your printed materials? English InuktitutDo you require an interpreter during the meeting? Yes NoWhich language? Inuktitut Dene OtherOtherEVENTSWill you be bringing a guest to Awards Banquet on Thursday, April 27th? **We ask that you bring no more than one guest to the Banquet Yes NoDoes your guest have any allergies or dietary restrictions? Yes NoIf so, please explain.TRAVEL & ACCOMODATIONS**Please note: Any additional costs for special travel requests are the responsibility of the individual delegateDate of BirthDo you require an additional stay in any community/city before the Annual Meeting? Yes NoWhere? And for what dates?Do you require an additional stay in any community/city after the Annual Meeting? Yes NoWhere? And for what dates?Do you wish to share a hotel room with another Delegate in Winnipeg? *Please note: Both delegates must have each others name on their form in order for their room to be booked together. Yes NoDelegate NameCommunitySubmit Form
