56th conference CTAA - 2011
Quebec City, QC
November 12 to November 16, 2011

 

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Delegate's Information: 

  
Last Name: 
First Name: 
Name on Badge:  
Accompanying Guest Information:   
First Name: 
Last Name:
Name on Badge:
Name of Organization:  
Mailing Address: 
City: 
Province/State: 
Country: 
Postal/Zip Code:  XXX XXX OR XXXXX
Home Phone Number:   360 555-1212
Business Phone Number:   360 555-1212
Fax Number:   360 555-1212
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  Member Non-Member
Conference Registration Fee:  $545.00 $745.00
Accompanying Guest Program:
(including Banquet and Sunday Welcome Reception)  		$300.00 $300.00
One Day Delegates: 
(excluding Banquet and Sunday Welcome Reception)
(Choice of one day)
$175.00/Monday $175.00/Monday
  $175.00/Tuesday $175.00/Tuesday
  $175.00/Wednesday $175.00/Wednesday
Student Registration Fee:
One or two days excludes Proceedings, Banquet and Sunday Welcome Reception
Three days includes CD of Proceedings, Banquet, Sunday Welcome Reception, and 2011 membership fees		 $ 50.00/Monday $ 50.00/Monday
  $ 50.00/Tuesday $ 50.00/Tuesday
  $ 50.00/Wednesday $ 50.00/Wednesday
1-Day (CUPGA) Seminar/Workshop
(Sunday, November 13, 2011):		 $100.00/day $100.0/day
Workshops
For Workshop description See July Newsletter

A) ($60) - B) ($60)

Extra Banquet Tickets $130 each ticket:   # required   # required
Extra Copies of Proceedings $95.00 each:   # required   # required
Young Member's Reception - 30 years or under: Yes No  
Scholarship Fund Donation (no taxes)  

GST/HST Number R121284814

    
Subtotal :
GST @ 5% :
Subtotal :
QST (8.5%) :
Scholarship Fund Donation (no taxes) :
Total :
   
NON-MEMBER REGISTRATION FEES INCLUDE MEMBERSHIP IN THE ASSOCIATION FOR THE PRESENT YEAR PLUS A COPY OF THIS YEAR’S PROCEEDINGS
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If applying as a non-member, please provide the following information for our records:

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Occupation:
ConsultantTechnical Association Federal Government
ContractorTechnical CollegeProvincial Government
Equipment & PlantTransportation (goods)Local Government
Material SupplierUniversityStudent
Testing LaboratoryResearcherOther

 

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