Please print these pages, fill
in and send with payment.
Please make your (current dated)
checque/money order, payable to OISE/UT and forward to:
OISE/UT
c/o C. Clarke
252 Bloor St. W., ofc. 10-174
Toronto, Ontario M5S 1V6
General - $200 Canadian ($190
US)
Presenter - $150 Canadian ($140
US)
Full-time Student Fee - $100
- ($90 US) School and Student #______________________
All day
Saturday only - $100 - Only Friday evening or only Sunday morning $50.00
for regular admission
All day
Saturday only - $75 - Only Friday evening or only Sunday morning $37.50
for presenters
All day
Saturday only - $50 for Full-time Students - Only Friday evening or only
Sunday morning $25.00
Pre-Conference Fees (extra)
$35.00 Canadian ($35 US) per
workshop
Breaking New Ground 2007- October 26-28, 2007 Registration Form
| First Name/Last Name |
| Position/Title |
| Organization/School |
| Mailing Address (check one) Home Org |
| Street |
| City/Province |
| Postal Code Daytime Phone Number ( ) |
| e-mail/fax |
Can we use this contact information for our conference participants' list? (yes or no)
Workshop and Topic Choices
Please write in number of preferred
sessions - first and second choices. To avoid disappointment, please register
immediately.
| Pre-Conference | 1st Choice | 2nd Choice |
| AM | ||
| PM | ||
| Workshops | 1st Choice | 2nd Choice |
| A | ||
| B | ||
| C | ||
| D | ||
| E | ||
| F |
Refund Policy: Request for a refund must be received in writing by October 18, 2005 and a refund will be issued minus $50.00 Administrative Fee.
If you have any questions regarding:
REGISTRATION: Cheryl Clarke
(416) 978-0245 cclarke@oise.utoronto.ca
Fax: (416) 926-4754
PROGRAM: Jack Miller (416) 978-0221
jmiller@oise.utoronto.ca