CompuBase

Registration Form

Thank you for your interest in our products and services. Please complete this form and we will endeavour to contact you promptly. We aim to answer all queries within one business day. If you require immediate attention, please call us at (905) 812-9622. To avoid spam, we do not publish our email addresses on our website.

Your privacy is guaranteed as we do not, under any circumstances, provide your information to third parties or affiliates.

For more information please read our privacy statement.

Name of Organization
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Telephone #	Enter as XXX-XXX-XXXX
First Name
Last Name
Position
E-mail	Confirmation of your request will be sent to this e-mail address.
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Security Code	For security purposes, please tell us the characters you see in the green rectangle. Your registration will be discarded unless you specify the correct code.
Comments	Please specify when you would like us to contact you and the reason for your query.
Please tell us how you heard about MYKIDS (Check all that apply): Advertisement in a magazine Advertisement in an e-Newsletter At a conference or educational institute From a colleague I received information directly from CompuBase Search on the Web
If you experience a problem sending this registration form, please call (905) 812-9622.