Date: Saturday, November 4th, 2006
Place: Gym 1 and 2 - University Community Centre (UCC), The University of Western Ontario
Time: 1:00 p.m.
For further information please contact Anita Anoya, Coordinator, Graduate Student Recruitment and Retention at: aanoya2@uwo.ca

Please fill out the form below to R.S.V.P.:
( * denotes mandatory field)

First Name: *
Last Name: *
Address: *
City: *
Province: *
Postal Code: *
Phone Number: *
E-Mail Address: *


Degree Type:

Program:
Current or Last School Attended: *

I will be able to attend:
I regret that I will not be able to attend:





The personal information on this form is collected under the authority of the University of Western Ontario Act, 1982, as amended. For a complete Collection Notice, visit www.uwo.ca/grad