Registration Fees (All prices are listed in Canadian Funds)
  Adult (18+) 6 and under 7 to 17 Student*
of 18+
Before December 1st 2007 $120.00 free $60.00 $90.00
Before February 1st 2008 $150.00 free $75.00 $110.00
Before June 10th 2008 $170.00 free $85.00 $130.00
After June 10th 2008 $200.00 free $100.00 $150.00
*Must present full-time Student ID

Step 1 - Primary Registrant Info
Required information is indicated with an asterisk (*)
REGISTRANT #1 * Mensa Membership #
Last Name*
First Name*
Age*  Student?  yes no
If you were given a special registration code, enter it here :
Name desired on nametag
Address*
City*
Province/State
Postal/ZIP Code
Country
E-mail address
Phone
Preferred method of contact  E-mail Post
REGISTRANT #2
Last Name
First Name
Age  Student?  yes no
Name desired on nametag
REGISTRANT #3
Last Name
First Name
Age  Student?  yes no
Name desired on nametag
  More registrants? Click here
REGISTRANT #4
Last Name
First Name
Age  Student?  yes no
Name desired on nametag
REGISTRANT #5
Last Name
First Name
Age  Student?  yes no
Name desired on nametag
REGISTRANT #6
Last Name
First Name
Age  Student?  yes no
Name desired on nametag