Badge InformationMr Ms Dr Professor First NameLast Name PositionTitle DepartmentInstitutionReceipt Information Mailing Address CityProvinceState PostalZip CodeCountry PhoneFaxMa ID: 837383
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1 8th Annual Conference Registration Form
8th Annual Conference Registration Form Badge InformationMr. Ms. Dr. Professor First NameLast Name Position/Title DepartmentInstitutionReceipt Information Mailing Address CityProvince/State Postal/Zip CodeCountry PhoneFaxMay we include this address on a participant list? YesGeneral InformationPlease list any special physical or dietary needs below.Vegetarian mealsDietary restrictions _____________________________Social Events (included in the Conference fee)Sunday receptionMonday banquetConference FeesPlease register me in the following pre-conference event onSunday October 6, 9:00Ð11:30 amPre-Conference Workshop (us $25/cdn $37.50)Conducting Peer Urban and Metropolitan Institutional AnalysisUrban Field Trip (us $25/cdn $37.50)Walking tour of VancouverÑmaximum of 50 participantsNote: These pre-conference events are scheduled to occur simultaneously.Early Conference FeesTo be eligible for the reduced fee, registration and payment must bereceived by Monday, September 16.Coalition Member Fee (us $400/cdn $600)Non-member Fee (us $450/cdn $675)Third registrant from same institution (us $300/cdn $450)Fourth registrant from same institution (us $300/cdn $450)Full Conference FeesApplies to registrations received after Monday, September 16.Coalition Member Fee (us $450/cdn $675)Non-member Fee (us $500/cdn $750)Third registrant from same institution (us $350/cdn $525)Fourth registrant from same institution (us $350/cdn $525)Guest FeeGuest Package (us $100/cdn $150 each)Total Payment cdn dollarsMethod of Payment VISA MasterCard Cheque (payable to Simon Fraser University) Purchase order number ____________________________ Please invoice my institution at the following address:Return your completed registration form with payment to:Simon Fraser Universityc/o CUMU 8th Annual ConferenceConference Services, Halpern Centre8888 University DriveBurnaby, British ColumbiaCanada V5A 1S6or fax it to 604.291.3420Guest Registration (if applicable) I will be bringing a guestMy guestÕs name is _______________________I would like a separate receipt for myguestÕs registration paymentPlease list guestÕs special needs (if any) below.Vegetarian mealsDietary restrictions ___________________