To register for an upcoming “Discover CCNM” event, please complete the following form.

Contact Information (* = required)
(All information provided will be held in accordance with CCNM’s Privacy Policy)

Title

*Name

Address

Apt./Unit

City

Province/State

Postal/Zip Code

*Telephone

*Email Address

*Upcoming Dates – Please choose only one

DATES June 15, 2007 June 22, 20007 (Halifax) July 20, 2007 August 17, 2007

*How many guests (including yourself) will be attending?

How did you first learn about CCNM?

university career/graduate education fair trade show/wellness fair magazine article magazine advertisement newspaper article newspaper advertisement television feature television commercial radio feature radio commercial ND referral other referral peterson’s guide Google search Yahoo! search other search engine studyincanada.com studycanada.com (CEC Network) hyperstudy.com naturalhealers.com UC411.com gradschools.com schoolfinder.com other website information session health food store/fitness centre display yellow pages CAND referral AANP referral AANMC referral other

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*Note: Sessions fill up quickly and many have a waiting list. If you are unable to attend the session for which you have signed up please call 416-498-1255 ext. 245 or e-mail pscott@ccnm.edu to advise us and make alternate arrangements.