FUTURE DIRECTIONS IN SCIENCE JOURNALISM ::

November 9 & 10, 2007
Peter Wall Institute for Advanced Studies, UBC


Registration

Please complete each section of the following form in full to register for Future Directions in Science Journalism or banquet only.

Title:

Full Name:

Position:

Affiliation:

Street Address:

City:

Province / State:

Country:

Postal Code / Zip Code:

Email Address:

Phone Number:

Registration Options

Registration includes:
• Reception November 9, 2007 (evening)
• Admission to all conference sessions
• Breakfast, lunch and coffee breaks November 10, 2007
• One ticket to the Canadian Science Journalism Awards banquet including a four-course dinner

Please input how many of each ticket you require:

> 0 1 2 3 4 5 6 7 8 9 Regular $125 CDN (117.92 + 7.08 GST = $125 CDN)
> 0 1 2 3 4 5 6 7 8 9 Student $75 CDN †  (70.76 + 4.24 GST)

> 0 1 2 3 4 5 6 7 8 9 Banquet Only, Regular ($60 CDN) (56.60 + 3.40 GST)

> 0 1 2 3 4 5 6 7 8 9 Banquet Only, Student ($45 CDN) † (42.45 + 2.55 GST)

† requires current valid student ID presented at entrance to event.

Special Meal Requests

If you require a vegetarian meal please check here.

Please let us know if you have any special dietary needs (allergies, etc.)
we should know about for meals provided during the conference.

Payment for Event

By selecting this option I agree that I will be sending a cheque or money order made out to UBC SCHOOL OF JOURNALISM.

You will receive an email with mailing directions and total amount for the cheque or money order.