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Registration for WAO'98
To register for WAO'98, please complete this form and mail or FAX
it to:
Fred Bach, WAO'98 Workshop Secretary FAX 604 / 222-1074
4004 Wesbrook Mall Tel: 604 / 222-1047
Vancouver, British Columbia
CANADA V6T 2A3
You may also register electronically via the Internet. See our web
page at http://www.triumf.ca/wao98. If you register
electronically, we will contact you to arrange fee payment.
If you do not hear from us within 2 weeks after you register by
e-mail / FAX or 4 weeks after you register by mail, please contact
the workshop secretary. Please fill in the following information:
First name __________________________ Last name____________________________
Title __________________________ Position __________________________
Organization ________________________________________________________________
Address _________________________________________________________________
Address (continued) ________________________________________________________
City _______________________________ State / Province ________________
Country ______________________________ Zip / Postal Code ________________
Work Phone ___________________________ FAX __________________________
E-mail ___________________________________________________________________
REGISTRATION FEES: Registration will be limited to approx. 150.
Registration includes one banquet ticket.
Pre-Registration deadline is 15 April 1998.
Pre-Registration: ____ @ $215.00 (CDN) = $_______ . ____
Late Registration: ____ @ $265.00 (CDN) = $_______ . ____
Banquet for Companions ____ @ $ 45.00 (CDN) = $_______ . ____
Note: 7% Canadian Goods & Services Tax is already included.
GST Registration No. R119271534
Total $_______ . ____
( )Check or Money Order enclosed, please make check payable to TRIUMF / WAO'98.
( )Or charge my (circle one): Visa MasterCard American Express Diners Club
Card No._______________________________________ Expiry ___________
(mm/yy)
Cardholder Name ___________________________________________
(exact name on card)
Cardholder Signature ______________________________________ CDN$_______ . ___
(total payment)
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