CAP/COMP/BSC 2004 CONGRESS

REGISTRATION FORM

Delta Winnipeg , June 13-16, 2004

(If you prefer on-paper registration, please use the following PDF forms (English or French).)

(To register please use IE 5.0+/Netscape 5.0+/Opera/Mozilla browsers.)

(If you are member of CASCA, please use following link to register)

(After May 31, 2004, delegates should register on-line by credit card ONLY, or on site. Payment may be made by credit card (Visa, Mastercard). Cheques or money orders will be accepted at on-site registration only. All fees are quoted in Canadian dollars.)

First Name: * Surname: *

Professional Affiliation (Organization, company, university): *

Address: *

City: * Prov/State: Country: * Postal Code: *

Phone: work * home FAX

E-mail: * Position: *

Note: "*" is a required field

REGISTRATION FEE SCHEDULE (mandatory 7% GST extra)

 

REGISTRATION FEES: (Canadian Funds) (Note: AAPM members should register as COMP members)

Membership
  
   
Full Time Registrants
CAP COMP BSC ($375.00)  
APS IOP SMF CNF DPG IPS ($375.00)  
Invited Speaker ($375.00)  
Non-Member ($450.00)  
CAP/COMP Student Members ($120.00)  
Non-Member Student ($140.00)  
High School & Jr. College Teachers Member ($120.00)  
Non-Member High School & Jr. College Teachers ($140.00)  
Retirees ($180.00)  
   

One Day Regist'n Sun., Mon., Tues., Wed.,

  
Non-Member ($220.00)
 
Member/Invited Speaker ($170.00)
  
High School Teachers (free)
  
SUBTOTAL:
 $
GST (7%):
 $

I will attend the Welcome Reception on Sunday Evening, June 13 (light refreshments will be served): (please choose "Yes" or "No")
Yes: No:
Saturday June 12, evening, there will be a Graduate Student Barbecue (Graduate Students ONLY) on the University of Manitoba campus (shuttle service from the Delta hotel will be provided).

(no cost to graduate student).

Bagged lunches on Monday and Tuesday in Poster/Exhibit Area. $25 (CAD - Taxes Included):$ (Sold out)

Special dietary requirements?

Banquet, Tuesday, June 15th (#of tickets ) at
$ (taxes incl.) (Sold out)
 
TOTAL:
 $ (CAD)

Comments regarding Congress 2004 registration?

Please choose type of the payment.

via mail