World Brain / World Mind Workshop

Registration

Fill out the following form and mail it to the address below, together with the appropriate fee (in a cheque or money order made payable to the University of Calgary and drawn on a Canadian or US bank).


Fee Information
                                         U.S            Canadian
Individual registration        
(until May 16th, 1997)                   $80.00          $108.00
(May 17th - June 14th)                   $100.00         $135.00

University of Calgary
faculty, retirees and staff
(until May 16th, 1997)                   $40.00          $54.00
(May 17th - June 14th)                   $50.00          $68.00

Students
(until May 16th, 1997)                   $40.00          $54.00
(May 17th - June 14th)                   $50.00          $68.00

PLEASE ADD 7% GST TO ALL FEES

Delegate Information
Name:_____________________________________________________

Title:____________________________________________________

Organization:_____________________________________________

Mailing Address:__________________________________________

__________________________________________________________

Voice:___________________   Fax:__________________________

Email:____________________________________________________

Method of Payment:
       Cheque/International Money Order Payable to:
       University of Calgary

Registration Category: ____________________________________

Payment Amount + 7% GST=___________________________________


Completed Registration:

Send this completed form to:
Camille Sinanan
The University of Calgary
Math Sciences Building
2500 University Drive NW
Calgary, Alberta, T2N 1N4
Voice: 403-220-6316
Fax: 403-284-4707
Email: camille@cpsc.ucalgary.ca



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