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REGISTRATION FORM
FOSTERING CULTURAL DIVERSITY AND DEVELOPMENT:
LOCAL, NATIONAL AND GLOBAL STRATEGIES
THIRD ANNUAL CONFERENCE OF THE
International Network for Cultural Diversity
Cape Town, South Africa
October 11, 12, 13 2002
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Please print:
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Print, and mail or fax this form to the address below.
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Surname
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______________________________________________
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Name
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______________________________________________
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Title
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______________________________________________
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Organization
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______________________________________________
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Address
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______________________________________________
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City
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______________________________________________
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Country
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______________________________________________
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Postal Code
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______________________________________________
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Telephone
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______________________________________________
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Fax
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______________________________________________
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E-mail
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______________________________________________
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IMPORTANT:
- One participant per form
- Fees payable to: Canadian Conference of the Arts
- Form must be accompanied by payment
- Reduced fees are only available for fully-paid INCD members
- Please verify visa and immunization requirements with the South African Embassy in your country well in advance of the
conference
- Please fax or mail form to the INCD Secretariat- address below
INCLUDED IN REGISTRATION FEES:
- Banquet reception (Thursday Oct 10)
- Lunches/Breaks (Oct 11, 12, 13)
- Performance on Robben Island (Oct 12)
- Closing cocktail reception (Oct 13)
- Conference kit with info on Cape Town
REGISTRATION FEES
Early Bird conference fee is $100 US for fully-paid INCD members,
$150 US for non-members.
After September 1, fee is $175 US for all participants.
Method of payment:
__ International money order
__ Cheque (payable to the Canadian Conference of the Arts)
__ VISA
__ Master Card
__ AMEX - Please do not email credit information -
Name
of Cardholder: ___________________________________________
Card number: ________________________________________________
Expiry date: ________________________________________
Signature: _________________________________________
Do you require a receipt? __ Yes __ No
Cancellation policy: All refunds will require a 25% administration fee; no refunds will be granted after October 1, 2002.
Note: financial assistance may be
available to some participants from the developing world. Please contact the INCD Secretariat for more information.
RETURN this registration form TO:
INCD/CCA, 804-130 Albert St, Ottawa, ON K1P 5G4 Canada
Tel: 1(613)238-3561; fax: 1(613)238-4849
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HOTEL BOOKINGS
A block reservation at the Greenmarket Square Hotel – Greenmarket Square, Cape Town Postal
address: PO Box 1215, Cape Town, 8002 - has been made for the INCD conference and will be held until September 20, 2002. Rates are: Single rooms R424,00, Double rooms R289,00 per person.
Participants are responsible for their own arrangements and should contact the Hotel to reserve rooms. Booking reference number: 00000002.
Tel: 27-21-423 20 50; Fax:
27-21-423 2059.
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