CSIO Workgroup Registration

* Required Fields
* First Name:
* Last Name:
Title:
* Organization:
* Email Address:
Phone Number:	Ext.
Fax Number:
Address: (Please use your Head Office Address)
City:
Province:
Postal Code:
* Please indicate which standards Workgroup you would like to register for:
EDI - National Standards                             Date: XML National Standards                              Date: Forms Workgroup                                       Date: Special Standards:                                     Date: Other:                                                        Date:
Please indicate which standards you are actively working with:
EDI - Personal Lines XML Standards: Commercial Property   Commercial Automobile Personal Property         Personal Automobile Farm         Claims   Accounting Forms: Commercial Property   Commercial Automobile Personal Property         Personal Automobile Farm         Other:
Yes, I will be attending virtually If you check "Yes", instructions for connecting to applicable standards Workgroup meetings will be sent to the email address you have provided.
Include my email address on the distribution list.
Yes            No