CASAE WEST CONFERENCE

UNIVERSITY OF BRITISH COLUMBIA

APRIL 25-27, 2003


REGISTRATION FORM


Name:____________________________________________________________


Email:____________________________________________________________


Phone: ______________________ Fax: _________________________________


Address: _________________________________________________________


___________________________________Postal Code:_____________________


Organizational or Institutional Affiliation: _________________________________________________________


Food Preferences: ___Chicken/Fish    ____Vegetarian


Can we include your name and contact information in a list of participants?

____ Yes ____ No


Registration Fee: includes reception (cash bar), refreshment breaks, lunch and dinner           


Early Bird: Before April 1, 2003

____ Student/Un/Under/employed/Retired - Early Bird $70.00

____ Faculty/Employed $85.00


Late Fee: After April 1, 2003

____ Late $90.00


Print this form and fill in your information.

Mail completed form with your cheque or money order (payable to U.B.C.) to:

Jeannie Young

Department of Educational Studies

University of British Columbia

2125 Main Mall, Vancouver, BC, V6T 1Z4

PH: 604-822-5881; FAX: 604-822-4244; email: jeannie.young@ubc.ca


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