Registration form: 40th AMOP technical seminar on environmental contamination and response

40th AMOP Technical Seminar on Environmental Contamination and Response

October 3 to 5, 2017
Sheraton Cavalier Hotel
Calgary, Alberta, Canada

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Organization ___________________________________________________________________

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Registration Packages and Rates

Complete  Package (includes sessions, poster displays, exhibits, coffee breaks, and lunches for all 3 days, Welcome Reception, and a copy of the Proceedings)

☐ Before September 1- $475Footnote1

☐ After September 1 - $575Footnote1

☐ On site - $605Footnote2

Daily Rate


☐ Before September 28 (____ x $225Footnote1) = $__________Footnote1

☐ On site (____ x $240Footnote2) = $__________Footnote2

Student Rate

☐ Before September 28 - $275Footnote1

☐ On site - $290Footnote2

All prices are in Canadian dollars. To receive the reduced registration rate, payment must be received by September 1, 2017. Make cheques payable to Receiver General for Canada and send along with this form.
If paying by credit card, please fill out the information below.

☐ Cheque       ☐ Visa       ☐ MasterCard       ☐ AmEx          

Total Amount (Canadian Dollars) ________

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Expiry Date: ____________
Card Security Code (Last 3 digits on the back of the credit card): __________
Name as it appears on card: ______________________________________
Authorization signature:   ________________________________________
Tax Exemption number, if applicable _______________________________

Send this form along with payment to:

Natalie Jones
Technical Seminar Coordinator
Emergencies Science and Technology Section
Environment and Climate Change Canada
335 River Road
Ottawa, Ontario, Canada
K1A 0H3

Telephone: (613) 991-1114
Fax: (613) 991-9485

Please contact us if you have any questions.

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