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CIRA Conference Registration

Please fill in the registration form below. After submitting the form you have the ability to print it out for your records. You will then be asked to select a payment option. Payment can be made ONLINE or BY MAIL. If you choose to pay ONLINE, you will be taken to a secure PayPal page. Before finalizing your purchase, you may add to, remove or confirm your conference choices.

When you check out, Paypal allows you to use your secure Paypal account, Visa, Mastercard, American Express or Discover to complete your transaction.

There is no additional cost for attending the Opening Plenary Reception or the AGM Lunch. Your registration for these events is simply to allow us to plan appropriately.

If you have any questions about registration, please contact Kelly Williams-Whitt at ciraacri.conference@gmail.com.

Your Name:
Your Email
Rate Information Conference Rate Early Bird After Apr. 10
NONMEMBER – REGULAR  $390.00 $420.00*
NONMEMBER – STUDENT or RETIRED $195.00 $210.00
ACRI/CIRA MEMBER – REGULAR $250.00 $280.00
ACRI/CIRA MEMBER – STUDENT or RETIRED $125.00 $140.00
* If you wish to become a member of ACRI-CIRA National, please fill out the application and pay the membership fee online at
http://www.cira-acri.ca/en/forms/index_mem.html.
     
Reception I WILL ATTEND THE OPENING PLENARY AND RECEPTION ON MAY 29TH
Lunch I WILL ATTEND THE LUNCH AND AGM ON MAY 30TH
Award Presentation I WILL ATTEND THE BANQUET AND AWARD PRESENTATION ON MAY 30TH Me: $50.00
I WILL ALSO BRING A GUEST TO THE BANQUET AND AWARD PRESENTATION ON MAY 30TH Guest: $50.00
Allergies or dietary restrictions:  
     
   
     
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