CIAA HALIFAX  2013
                               

    Pre-registration for CIAA 2013


Please complete and return by Fax or Email to:

FAX:    +1-902–420–5035                      
Email:  rose.daurie@smu.ca (write CIAA in the subject)

An acknowledgment will be sent via email. 
If return is by FAX, please email to notify about the FAX.



Name:
_________________________________________________________
               (Please Print Clearly)


Email Address:
________________________________________________


University:
___________________________________________________


I am a student:   YES    NO  (please circle only one response)


Number of extra tickets for excursion and banquet:_____


Registration fee will be paid at the conference site (CASH only)