Annual Conference 2010

REGISTRATION

Name

Company / Organization

Address

Telephone

Fax

E-Mail

Receipt?	No Yes Addressed to

Certificate for Bar of Quebec	No Yes

Vegetarian?

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RATES

MEMBERS	(until May 18th inclusively)	350.00$ + GST/QST =	395.06$
MEMBERS	(after May 18th)	400.00$ + GST/QST =	451.50$

Non-membERS	(until May 18th inclusively)	475.00$ + GST/QST =	536.16$
Non-membERS	(after May 18th)	525.00$ + GST/QST =	592.59$

STUDENTS		125.00$ + GST/QST =	141.09$

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PAYMENT METHOD BY CREDIT CARD

	Visa	Master Card

Credit card number	(+10$)	Total :

Expiration

Signature	__________________________________________

	NON SECURE ONLINE REGISTRATION

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PAYMENT METHOD BY CHEQUE

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Contact ALAI Canada
B.P. 61534, Succ. Tétrault Ville Montreal (Quebec) H1L 6R1
Telephone: (514) 993-1556 Fax: (514) 352-1403 // E-Mail: