Community Building on the Avalon Conference - Registration Form

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Community Building on The Avalon- Registration Form

Please complete a separate sheet for each delegate

Name: __________________________________
Organization: _____________________________
Address: _________________________________
Tel: _________________ Fax:________________
E-mail: __________________________________

Program Selection:

Regional Economic Development Site Tours: This package provides information on five Site Tours. Please list your first, second and third choice of tour. Seats will be assigned on a first come, first served basis.
1^st Choice	2^nd Choice	3^rd Choice
Concurrent workshops/presentations: This package provides descriptions of workshop sessions being offered in the morning and afternoon of June 7^th. Sessions vary in length from 1 hour to 2.5 hours. Please review the information and indicate your first, second and third choice for morning and afternoon presentations.
1^st Choice	2^nd Choice	3^rd Choice
Morning
Afternoon
Identifying Our Capacity - Work Crew Assignments: This package lists 12 issues to be addressed by work crews. Please list your first, second and third choice of topic.
1^st. Choice	2^nd Choice	3^rd Choice

Accommodation, Meals and Parking:
If you are planning to stay in residence during the Conference, provide the following information. Please note that;

free parking is available to guests

bed linens/towels and daily maid service are supplied

bathrooms are communal

all rooms/buildings are non-smoking. Alcohol is permitted in personal rooms only

there is a $50 charge for lost keys

Please circle nights required: Thursday Friday Saturday	Is there someone else attending the conference, you would prefer to share a room with? Yes No Name:______________________________
Parking requested: Yes No	Do you have any food allergies? Details: Do you require vegetarian meals? Other needs?

To assist us in controlling costs, we would appreciate knowing the following;
Will you be attending the Breakfast with Coaker: 8:00 a.m., Friday, June 6?
Yes No
Will you be attending the Banquet, 7:30 p.m., Saturday, June 7?
Yes No

Other:

1. If you are not staying on campus, parking permits can be arranged for a fee of $2 per day. If you would like us to arrange a permit, please circle dates required and provide license number of vehicle. Thursday Friday Saturday Sunday
Plate Number:______________________

2. Additional Banquet Tickets may also be purchased at a cost of $25.00. Please indicate the number of additional seats required. We will confirm availability after May 23^rd. Do not include parking or additional banquet fees in your registration fee.
# of Tickets ________________________

Registration Fees: Please make cheque payable to Mariner Resource Opportunities Network Inc. Send registration form and payment to Community Building Conference P.O Box 520, 27 Goff Ave. Carbonear, NL A1Y 1B9

$150: Includes:
Conference registration
3 nights accommodation (double occupancy) at Memorial University
3 Continental Breakfasts
CEDTAP Luncheon
Banquet Dinner

$50: Includes
Conference registration
2 Continental breakfasts
CEDTAP Luncheon
Banquet Dinner

Back to Conference Agenda