Arctic Science 2000 Registration

Whitehorse, Yukon Sept 21-24

STEP 1: Fill out the form. Required fields are highlighted.

Title Dr.     Mr.     Ms      Mrs.    Miss
First Name  
  Initial(s) 
Last Name
Position
Affiliation
Name and affiliation as you would like them to appear on your name tag
   Line 1
Line 2
Address line 1
Address line 2
City/Community
Terr./Prov./State
Post/Zip Code
Country
Email address
Phone     Fax 
Do you have any special needs? 
     
Are you interested in making a presentation
at a Yukon school?                            No     Yes
(Innovators in the Schools will contact you if you indicate an interest.)
Are you submitting an abstract?    No     Yes
  If yes, indicate your preference    
                Oral Presentation      Poster
Registration Type

Registration includes: opening reception, plenary sessions, workshops, poster sessions and the entertainment evening. Lunches are not included.
     Full Conference ($285 Can) One Day ($110 Can)
  Student Full Conference ($100 Can)   Student One Day ($35 Can)  
Field Trip Registration
     Trip 1 (Kluane)
$200 Can

Trip 3 (Wolf Creek)
$35 Can
  Trip 2 (Kwaday Dan Kenjii)
$48 Can  

Trip 4 (Takhini Valley)
$35 Can  
Total Fee
(GST is included)		 $Can 
Payment Method
Mail cheque or Visa card information to:
Arctic 2000, Leaf Coordination Services
4 -1114 1st Avenue, Whitehorse, Yukon
Y1A 1A3 Canada
Phone Visa details to Wanda Leaf at
(867) 633-5269 or fax (867) 668-6489

STEP 2: Print this form for your records (use your Browser's print function)

STEP 3: Submit the form to complete registration. We will confirm receipt of your registration by email. Don't forget to phone, fax or mail your payment.

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