"Partnerships"
August 15-18, 1997 Halifax, Nova Scotia
Workshop only:
Workshop with conference registration:
Daily registration (including lunch): $70.00
**Student discounts available on application.
Name_____________________________________________________________________
Address___________________________________________________________________
_______________________________________________Code____________________
Organization_______________________________________________________________
E-Mail
Address____________________________________Phone____________________
Please enclose a cheque or your credit card
information for the full amount:
Registration $__________
Workshop with Registration $__________ Please specify Workshop #1 or #2
Workshop (only) $__________
Accommodation at Dalhousie $__________
(single=$34.00; double=$51.00)
Additional banquet tickets:
_____ @ $40.00 = $__________
TOTAL $__________
Please complete for Accommodation at Dalhousie only:
Time of Arrival_______________________
Time of Departure_____________________
Accommodation is requested for _______ nights.
CREDIT CARD INFORMATION
Please indicate: Visa_____ Master Card____
Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Name______________________________
Signature ___________________________
Expiry Date: ____________________
SPECIAL NEEDS
(Please indicate your exact requirements.)
Dietary ___________________________
Access____________________________
Deaf interpreter_____________________
Other_____________________________
__________________________________
Please do not mail Registrations Forms after August 1. Registrations will
be acknowledged by E-mail after the Registration Form and fees have been
received. Your receipt will be included in your registration packet on
your arrival.
Cancellation policy: $150 refund prior to August 1. There will be no
refunds after August 1.
Our web site contains current program information and provides an
opportunity for you to make further inquiries.
If you would like more copies of this Registration Package for
distribution, please request them from
Truman Layton