1 Start 2 Complete Ticket Option(s) Registration Information First Name * Last Name * Email * Phone number * Address line 1 * Address line 2 City * Province or State * Postal / ZIP Code Country Are you attending in celebration of a specific Award Recipient? Yes No, I am celebrating all recipients. Which award recipient(s) are you celebrating? Check all that apply. Jennifer Jones Beth Ann Prince Trevor Fairlie Franklin H. Ezenwa Domenica Mediati Hakeem Subair Additional Guest(s) Information Please provide the contact information for all guests attending under this registration. Guest Name(s) Please provide the names of all guests, separated by a comma. Please list any dietary restrictions or allergies Including if you are requesting a vegetarian meal. Payment Method For internal University of Windsor fund transfers, please select the "other" option. Leave this field blank Submit
