CASIS INTERNATIONAL CONFERENCE 2004

OTTAWA, ONTARIO CANADA

CONFERENCE REGISTRATION FORM

 

PEACE, ORDER AND PUBLIC SAFETY POST 9/11:

ARE WE GETTING IT RIGHT?

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Personal Information
Name:
Title/Position:
Address:
Home Phone:
Office Phone:
Email Address:
Student Number:
(Note: CASIS is investigating the possibility of financial support for full time students)
Organization/Company/         
Educational Institution :


Registration Information
Registration Category CASIS Member Non-Member
Full Time Student: X $100 CDN X $125 CDN
Retirees: X $140 CDN X $165 CDN
University faculty members: X $140 CDN X $175 CDN
Public/Government/Corporate: X $200 CDN X $300 CDN

Along with my registration, I wish to register my spouse/partner for an additional $100.
(Note: Include spouse/partner's name above with your own)


Billing Information
Card Type:
Card Number:
Expiry Date(mm/yy):  /