Registration Form

 
Name: 
Title: 
Dept: 
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Address: 
City: 
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DISCLAIMER: REFUND POLICY: WE RESPECT YOUR PRIVACY:
The AMTEC 2001 Conference Committee accepts no responsibility for accidents, loses, thefts, damages, delays or any changes in the conference program resulting from unforeseen events. All services offered have been arranged with contracted agencies and AMTEC 2001 assumes no responsibility for any actions taken by these agencies. Full refunds less $25 fee per registrant will be granted to requests received on or before May 1, 2001. No refund will be made for cancellations after May 1, 2001. Registrations may be transferred to another individual. To be issued a refund, please contact L. Hill at Nova Scotia Department of Education. The mailing information you have provided will be included on this conference's mailing lists, and may be used for related announcements. We maintain your name on our mailing list at your pleasure. Please check here if you want your name placed on the mailing list. 


COMPREHENSIVE REGISTRATION
JUNE 3-6, 2001

Includes: All regular sessions and keynote addresses, media showcase, opening reception, Media Festival Awards banquet, Pier 21 Lobster feast, and three lunches. (For catering purposes, please indicate in the appropriate table below, which meals you will require.)  We welcome your new membership, and look forward to meeting you at the conference.  Don't forget to reserve your accommodations (for more information see the accommodations link from our home page).
AMTEC/PIMA Member $470* 
Non-Member $570* 
AMTEC Membership $95* 
*Plus 15% HST
(For other membership rates refer to http://www.amtec.ca)


STUDENT REGISTRATION
JUNE 3-6, 2001

Includes: All regular sessions and keynote addresses and media showcase.
$150* 
*Plus 15% HST
Student Registered at:
 
Institution: 
Program:  Year: 


DAILY REGISTRATION
June 4,5 or 6

Includes: All daily regular sessions and keynote addresses, media showcase, and lunch.
Monday, June 4 $175* 
Tuesday, June 5 $175 *
Wednesday, June 6 $125 *
*Plus 15% HST


MEALS AND FUNCTIONS JUNE 3-6, 2001

I WILL ATTEND THE FOLLOWING:  ADDITIONAL MEALS (PLEASE INDICATE NUMBER):
June 3 Reception
June 4 Lunch
June 4 Media Festival Banquet
June 5 Lunch
June 5 Pier 21 Lobster Feast
June 6 AGM Lunch and Prize Draw
June 3 Reception @ $30
June 4 Lunch @ $12
June 4 Media Festival Banquet @ $55
June 5 Lunch @ $12
June 5 Pier 21 Lobster Feast @ $55
June 6 AGM Lunch and Prize Draw @ $25

Please inform of  special meal requirements by May 1, 2001. The lobster feast includes chicken and vegetarian alternatives:


TOTAL
ADD 15% HST
GRAND TOTAL

METHOD OF PAYMENT: (GST Registration #13747 7717)
[ Please Note: This is not a secure site. Any information you exchange with this site can possibly be viewed by anyone else on the Web.]

Cheque payable to:  AMTEC2001

VISA Mastercard
* If you intend to pay by Credit Card please Fax your Credit Card Number, expiry date, and signature to:
Linda Hill FAX: (902)424-0633

MAIL, FAX or E-MAIL Registration to:
Linda Hill, Registrar AMTEC 2001
Nova Scotia Department of Education
3770 Kempt Road
Halifax  NS  B3K 4H8
TEl: (902) 424-2462
FAX: (902)424-0633
E-MAIL: hilllj@gov.ns.ca



 

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