CASIS 2004 International Conference and Annual General Meeting

October 14-16, 2004, Ottawa, Ontario

Crowne Plaza Hotel

PEACE, ORDER AND PUBLIC SAFETY POST 9/11:

ARE WE GETTING IT RIGHT?

 

 CONFERENCE REGISTRATION FORM

Complete and mail to:

CASIS Secretariat, PO Box 69006, Place de Ville, Ottawa, Ontario K1R 1A7 CANADA

For info contact  e-mail: [email protected]

  Click here for online registration

 

Full Name(s)________________________________________________________________________

 

Mailing Address _____________________________________________________________________

 

Tel (H) ____________________________________ (O) ____________________________________

 

E-mail _____________________________________________________________________________

 

Student No. (If full-time student)_________________________

(Note: CASIS is investigating the possibility of financial support for full time students)

 

Organization/Company/Educational Institution (if any)

 

___________________________________________________________________________________

 

Registration Category                                       CASIS Member                       Non-member

                                                                                               

Full-time students                                                          $100                                         $125

 


Retirees                                                                        $140                                         $165

 


University faculty members                                            $140                                         $175

 

Public/Government/Corporate                                       $200                                         $300

 


Along with my registration, I wish to register my spouse/partner for an additional $100. Their name is included with mine above.

 


VISA No. _____________________________________ Expiry date _____________________

 


MASTERCARD No. ____________________________ Expiry date ญญญญญญญญญญญญญญ_____________________

 

             AMERICAN EXPRESS  No. ______________________ Expiry date ____________________

 

             Cheque enclosed