Name & Address  
Mr. Ms. Mrs.
First Name:
Last Name:
Name on Badge
Organization: Position:
Mailing Address:
Town/City: Province/ State:
Postal/Zip Code Country:
Telephone: (Include Country Code) Fax: (Include Country Code)
Email:

 

Please note: All prices are in Canadian Dollars.

Colloquium Registration
Registration Fee: includes attendance, 2 lunches, dinner and breakfast  
250.00
Harmonized Sales Tax (HST): Registration Fees are subject to the assessment of HST at the rate of 13%. ACSBE's HST Number: 12741 1296 RT0001 HST:
32.50
  Total:
282.50

Special Notes: (Vegetarian Meals, Disabilities, Special Accommodations)

Payment Options:

By Cheque or Money Order in Canadian dollars - payable to "Acadia Centre for Social & Business Entrepreneurship"
- please find the Credit Card payment form on the next page after you submit this form.
By Credit Card - please find Credit Card payment form below.
Return this form by fax, email, or calling Ann McGrath at +01 (902) 585-1776

NOTES AND CONDITIONS:

  1. All fees are payable by cheque or credit card before acceptance of Registration.
  2. Cancellations received in writing before May 22nd, 2008 will be refunded
  3. Any registered Attendees who arrive at the Colloquium without full payment having been received must pay all fees at the registration desk.
  4. Organizers reserve the right to make any necessary changes to the program and arrangements for the Conference.
  5. Your contact information will be kept in a database. Please contact Ann McGrath if you do not want this

I have read, understood and agreed to the general conditions and policies outlined on this registration form.

Contact Details:

Ann McGrath
Acadia Centre for Social & Business Entrepreneurship
c/o Acadia University
Willett House, 38 Crowell Drive
Wolfville, Nova Scotia Canada B4P 2R6
Phone: +01 (902) 585-1776
Fax: +01 (902) 585-1057
Email: ann.mcgrath@acadiau.ca