REGISTRATION FORM
for Capital Connections 2002 - April 11 to 14 in Ottawa

SIGN UP FOR YOUR MEALS:

I will attend (please check)				

( )	Friday reception, Chateau Laurier 	

( )	Saturday lunch 				
	(not included in registration cost)

( )	Awards banquet, Saturday 	 	
 
( )	Sunday brunch	 			

( )	Please serve me the vegetarian menu option 

Dietary alert:________________________________________


TALLY YOUR CHARGES:

Item                                            Cost

CAR workshop, Thursday                          $______

Conference Registration fee                     $______

Saturday Lunch ($35/delegate)                   $______


EXTRA tickets  (for non-delegate guests)

Friday reception ($ 20 ea)                      $______

Saturday lunch  ($40/non-delegate)              $______

Saturday banquet ($63 ea)                       $______

Sunday brunch ($25 ea)                          $______



SUBTOTAL:                                       $______


Add GST 7%                                      $______


New & lapsed members
Add CAJ membership fee  (no GST)                $______


GRAND TOTAL - Payable to
Canadian Association of Journalists             $______


REGISTRATION INFORMATION:

ALL DELEGATES must completely fill in this section

Name:___________________________________________________

Address:________________________________________________

City:___________________________________________________


Prov:_____________		Postal Code:_____________

Tel.-home: (   ) ____________

Tel.-work: (   ) ____________

Fax:(   ) ____________

E-mail:______________________@____________________________

Employer / School:_________________________________________

Work Address:_____________________________________________


SELECT METHOD OF PAYMENT:

( )   Enclosed is my cheque payable to the Canadian Association of
Journalists

( )    Charge my Visa           ( )     Charge my Mastercard

Card # ______________________________

Exp. date _______/20___


Signature _________________________________


HAVE YOU COMPLETED ALL SECTIONS OF THE FORM?  

SEND COMPLETED APPLICATION FORM TO: 

(Keep a copy of this form for your records)

Canadian Association of Journalists
<br>Algonquin College
<br>1385 Woodroffe Avenue, B224
<br>Ottawa, ON K2G 1V8
OR 

Fax to (613) 521-3904 

FOR FURTHER INFORMATION,  CONTACT:

John Dickins, Executive Director
Phone - (613) 526-8061
Fax - (613) 521-3904
E-mail -  caj@igs.net

WATCH FOR UPDATES on our website www.caj.ca 
- use the Capital Connections 2002 link