CONFERENCE ON THE GOUZENKO AFFAIR:

THE BEGINNINGS OF CANADIAN COUNTER-ESPIONAGE AND COLD WAR INTELLIGENCE HISTORY

Library and Archives Canada Auditorium

395 Wellington Street, Ottawa

14-15 April 2004

 

REGISTRATION FORM

 

Please return this form to:

Fax No. +1-613-520-2889

Attention: Elizabeth James

or e-mail elizabeth_james[email protected]

 

PLEASE PRINT CLEARLY

 

SURNAME:_____________________________________________________________

 

GIVEN NAME:__________________________________________________________

 

TITLE/RANK:_____________________

 

INSTITUTIONAL AFFILIATION:_________________________________________

 

POSTAL ADDRESS:_____________________________________________________

 

CITY:__________________________ PROV/STATE:__________________________

 

COUNTRY:_____________________________________________________________

 

TELEPHONE:___________________FAX:___________________________________

 

E-MAIL ADDRESS:______________________________________________________

 

REGISTRATION FEEOF $80 + GST = $85.60 (equivalent to US$64) per person should be attached.

 

The cheque should be made payable to: Canadian Centre of Intelligence and Security Studies,The Norman Paterson School of International Affairs.Please return to Elizabeth James, The Norman Paterson School of International Affairs, Carleton University, 1125 Colonel By Drive, Ottawa, ON†† K1S 5B6 / FAX (613) 520-2889 / Telephone:(613) 520-2600, ext. 6671/ [email protected]

 

A Student Rate is available for full time students, at $35.00 + GST = $37.45. To qualify for this concessional fee as a full time student please have this registration form countersigned by your academic supervisor/teacher: ____________________________________________________________

 

A block of hotel rooms has been made available for participants at the Crowne Plaza Hotel in Ottawa (the Conference venue) at a group rate of $119 per night (plus applicable taxes). Interested individuals should make their own reservations directly with the Hotelís reservation department at (613) 237-3600 ext. 6200, or through Crowne Plaza Hotels and Resorts central reservations office at 1-800-2CROWNE. ††††††††