EECOM 2001 Conference Registration

(PDF version available by clicking here).

Please print clearly, we will need this information to contact you.

Name

Affiliation

Phone                                         (day/work)                                  (home/evening)

Email

Address: including    City      Province/Territory/State       Postal Code

Are you an EECOM member?            Y      N             Are you a full-time student?            Y      N             

Please note that the conference registration fee includes:

• Entry to all conference events
• Nutrition breaks and all meals
• Shuttle transportation between Whitehorse hotels and conference venues
• Workshop at Kwaday Dan Kenji (Long Ago People's Place) for the first 100 registrants-50 on the afternoon of July18th and 50 on the afternoon of July 19th.
• Non-members of EECOM will receive a membership for 2001. And your yearly membership now includes a subscription to the Canadian Journal of Environmental Education.

Early Bird Registration (senton or before May 31,2001:

EECOM Member $ 160.00 ______    Non-member $ 195.00 ______  Student $ 125.00 ______

Registration after May 31, 2001:

EECOM Member $ 190.00 ______    Non-member $ 255.00 ______  Student $ 150.00 ______

Day rate:

Day rate with lunch only $ 35.00 ______ Additional final banquet tickets $ 30.00 ________

Note: All speakers and workshop presenters must be registered and paid by the early-bird deadline.

I am paying by    ___VISA     ___Mastercard      ___cheque/P.O.
(Please make cheques payable to "Canadian Journal of Environmental Education-Yukon College")

Credit Card #: ___________________________________    Expiry Date:_____________________

Name of Card Holder: _______________________________       Signature ________________________

Please fax or mail this completed Registration Form, with payment to:

EECOM-2001
C/O Canadian Journal of Environmental Education
Yukon College
Box 2799
Whitehorse, Yukon Canada Y1A 5K4

Fax: 867-668-8828