Employer Registration Company InformationCompany name*Contact name* First Last Position/titleContact phone number*Contact email address* Company address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code About your company*In no more than 100 words, please describe your company and your job opportunities. The description will be included in our Event Guide. Returning exhibitors please indicate below if you would like to repeat last year’s information. Company logoCompany RepresentativesPlease provide details about your company representatives for the purpose of creating names badges. If you do not have these details now, please provide them by March 23rd. Representative #1: Name First Last Representative #1: Position/titleRepresentative #1: Phone numberAdd 2nd Representative?YesRepresentative #2: Name First Last Representative #2: Position/titleRepresentative #2: Phone numberAdd 3rd Representative?YesRepresentative #3: Name First Last Representative #3: Position/titleRepresentative #3: Phone numberDo any of your representatives have any known food allergies we should be aware of?*YesNoPlease specify* Registration Fees: Early Bird Rate: Before March 2nd - $350 Regular Rate: Exhibitors registered after March 2rd - $395 How would you like to pay?*ChequeCredit CardPlease make cheque payable to MOSAIC (Include reference on the cheque “Job Fair 2018”) Mailing Address Attention: Sashi Dutt, Accounts Receivable 5575 Boundary Road Vancouver, BC V5R 2P9 Receipts will be e-mailed after the payment is processed. Credit Card: Please phone 604-254-9626 Sashi Dutt, Accounts Receivable Receipts will be e-mailed after the payment is processed. This iframe contains the logic required to handle Ajax powered Gravity Forms.