SECURE REGISTRATION FORM

Conference:

September 15th & 16th, 2005
Fairmont Château Laurier
Ottawa, ON

Registration:

The registration fee is $995.00 plus GST (R122967011) of $69.65 totaling $1064.65, covering your attendance at the conference, written materials, a light breakfast, luncheon & refreshments during the day.

Payment:

You may pay by VISA, MasterCard or cheque. Cheques should be made payable to the Pacific Business & Law Institute. Registration fees must be paid prior to the conference.

When and Where:

Check-in begins at 8:30 a.m., September 15, 2005. The conference starts at 9:00 a.m. on both days. The Fairmont Château Laurier is located at 1 Rideau Street, Ottawa, ON.

Cancellations:

Full refunds will be given for cancellations if notice is received in writing at least five full days prior to the day of the conference (September 10, 2005). Unfortunately, after that time we are unable to refund registration fees. We reserve the right to cancel, change or revise the date, faculty, content or venue of this event.

Three Other Ways to Register:

1.) Telephone us: 604-730-2500 or toll free 877-730-2555.
2.) Fax us: 604-730-5085 or toll free 866-730-5085
3.) Mail your registration form with payment

Your Privacy:

We will keep all information that you provide to us in strict confidence other than to prepare a delegate list containing your name, title, firm and city for our faculty and the conference delegates. We do not share or otherwise make available our mailing lists to any non-affiliated organization.

Payment Method:

Credit Card:

VISA    MasterCard

Card #                                            

Expiration:  Month Year

Card Holder Name:

Discount Code
(If Applicable):

Number of Registrations for program:

   

Registrant #1 Information

First Name:

Last Name:

Title

Email:

Phone:

Fax:

Registrant #2 Information

First Name:

Last Name:

Title

Email:

Phone:

Fax:

Registrant #3 Information

First Name:

Last Name:

Title

Email:

Phone:

Fax:

Registrant #4 Information

First Name:

Last Name:

Title

Email:

Phone:

Fax:

Organization:

Address:

City:

Prov/State:

Postal Code:

Comments:
How Did You Hear About This Conference?