AERC-CASAE/ACÉÉA 2004 JOINT CONFERENCE MAY 28-30/2004

PRE-CONFERENCE MAY 27, 2004

 

CANADIAN DELEGATES’ REGISTRATION FORM

Please duplicate registration form as needed.


This form may be downloaded from http://www.oise.utoronto.ca/CASAE. It may be returned by fax to

(250) 721-6603 if you are paying by Visa, MasterCard, or American Express. If you are paying by cheque or money order, please mail the form to the address indicated below. Cheques or money orders should be made payable to the University of Victoria. Registration will be confirmed by email.


YOUR REGISTRATION FEE includes all conference activities, CASAE President and Dean’s reception, refreshment breaks, and a copy of the Conference Proceedings.


Please print or type:


_____________________________________________

First Name                               Last Name


_____________________________________________

Organization


_____________________________________________

Title


_____________________________________________

Address


_____________________________________________

Address


_____________________________________________

City/Province


_____________________________________________

Postal Code                                     Country


_____________________________________________

Email Address (please print clearly)


Day Telephone__________________________________

                                                   Area Code


Evening Telephone_______________________________

                                                   Area Code


_____________________________________________

Name to Appear on Badge (please print clearly)


STUDENT STATUS CONFIRMATION

If you are registering for the reduced student rate, please complete the following: I am currently registered as a


student in the ___________________________Program


at ___________________________________University.


SPECIAL NEEDS


Slide projector                       Overhead projector

Power Point                           TV/VCR

Special dietary needs                                                           

Accessibility needs                                                                


HOUSING:

Housing arrangements must be made directly through

the University of Victoria (http://housing.uvic.ca, choose Conference Services for campus accommodation), OR the hotels and B&B’s themselves. More detailed housing information will be sent electronically to registrants.

 

CONFERENCE FEE SCHEDULE

(circle the applicable fee)


                                             Before             After

                                          Mar. 1/04        Mar. 1/04


Student Fee                          $140                $155


Regular Fee                          $175                $190


OTHER FEES:

Salmon BBQ, Saturday, May 29th              $36

Salmon BBQ, Additional Guest                  $36

Additional copies of Proceedings               $45


CASAE MEMBERSHIP:

Regular Membership + Journal                  $90

Student/Retired/Unwaged + Journal          $36


TOTAL AMOUNT DUE: $__________________

(includes Conference Fee, Salmon BBQ(s), CASAE Membership, and/or additional copies of Proceedings)


PRE-CONFERENCE MAY 27th

African Diaspora (full day)

Women and Adult Ed. (full day)

Labour Education (full day)

Transnationalism, Radical Activism, and Popular Education

Commission of Professors of Adult Education

Adult Literacy (full day)

Lesbian, Gay, Bisexual, Transgender & Queer Allies


RETURN FORM and PAYMENT to:

AERC-CASAE/ACÉÉA 2004

Continuing Studies in Education

University of Victoria

PO Box 3010 STN CSC

Victoria, BC CANADA V8W 3N4

or FAX to: (250) 721-6603


METHOD OF PAYMENT:

Cheque or Money Order enclosed (payable to

     University of Victoria)


Visa           MasterCard          American Express


Card No.                                                                               


Expiry Date (MM/YY):                                                        


 

Name on Credit Card (please print clearly)

 

 

Signature (mandatory)


Click here to return to our 2004 Information Centre Home Page.

 

Click here to return to the ACÉÉA-CASAE Home Page.

 

Created December 20, 2003 by the ACÉÉA-CASAE Internet Group