ACA2009 Conference Registration Form |
Past conference, this form is no longer active. |
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ACA2009, June 25-28, Montréal, Canada |
See: ACA2009 for more information on activities, schedule and Friday's excursion possibilities. |
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If you wish to send your registration by mail, use the Microsoft Word version or the PDF version of the conference registration form. |
In the Accompanying Person(s) column, on the right, list the
names of all persons accompanying the conference delegate at Wednesday’s
welcome reception and Saturday’s banquet dinner but not attending the
scientific program. If you enter an accompanying person in the right
column, the system will automaticaly add the corresponding fees to the
total amount payable.
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Conference Delegate Information |
Delegate |
Accompanying Person(s) |
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Last Name:
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Last name: |
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First name: |
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First
name: |
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E-mail: |
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Institution or
company: |
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Title: |
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Department: |
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Last name: |
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Address: |
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First name: |
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City: |
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State/Province: |
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Title: |
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Country: |
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Last name: |
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Zip or Postal Code: |
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First name: |
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Tel.: |
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Fax: |
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In order to help us plan sufficient resources, we ask that
you fill in the following: |
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I plan to attend Wednesday’s Welcome Reception |
YES
NO
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I plan to attend Saturday’s banquet dinner |
YES
NO
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Special menu needs: |
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Vegetarian menus or menus for those with food allergies
are available. Indicate any special needs of this sort in the following
space. |
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Friday's excursion is optionnal. If you
are interested in going on one of the excursions, simply indicate the
appropriate number of persons in the boxes below. (Don't forget
accompanying persons. If you are alone, choose 1 in the menu on the
right of your choice of excursion) The correspondent amount will be
added to your registration fees. |
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Your choice of excursion |
Choose number of participants |
Montréal Bus Tour (55 $Cdn per person) Cancelled, not enough inscriptions. |
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Lunch and walking tour of Chinatown (35 $Cdn per person) |
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Walking tour of Historical Old Montreal (15 $Cdn per person) |
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Registration Fees: |
Registration fees for conference delegates
cover
admission to all presentations and conferences, lunch on
Thursday and Saturday, coffee breaks, Wednesday’s welcome reception, and
Saturday’s banquet dinner. |
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Registration fees for accompanying persons cover
Wednesday’s welcome reception and Saturday’s banquet dinner. |
Payment must be in Canadian Dollars ($Cnd) |
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Registration for conference delegate |
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Standard registration, until June 1st: 270 $Cdn (approx. 160 Euro, 220 US$)
(will be 300 $Cnd after June 1st) |
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Registration for accompanying person |
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Standard registration, until June 1st: 135 $Cdn (approx. 80 Euro, 110 US$)
(will be 150 $Cnd after June 1st) |
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Payment: |
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Registration fees must be paid in Canadian Dollars. Confirmation
of registration will be sent to you, by e-mail (or by letter), within 10
days of receipt of payment. The delegate’s name and the
mention ACA2009 must appear on all cheques or transfers. The delegate must
cover any costs related to cheques or money transfers. |
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Select one of the following payment method.
After completing this form, use the submit button to access to the next
page where you will be able to validate your information and obtain your total amount of registration fees. (You will be able to come back to this form to modify any information you wish). |
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By credit card. (Select one of the following) :
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(payment will be charged in Canadian funds) |
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| Credit card number: | |
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| Expiration date: |
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Direct transfer of the registration fees to the |
| National Bank of Canada
600, de la Gauchetière Street West
Montréal, Québec, Canada
H3B 4L3 |
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| Payable to: École de technologie supérieure
(ACA2009)
Account number 00011-04-160-21
Swift code: BNDCCAMMINT ABA: 026009797
IBAN (RIB): 006000110416021
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By Cheque, in Canadian funds, payable to: |
| École de technologie supérieure (ACA2009), and sent to:
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Michel Beaudin (ACA2009 Conference)
École de technologie supérieure
1100 Notre-Dame ouest
Montréal, Qc
Canada H3C 1K3
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Comments |
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Past conference, this form is no longer active:
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