Registration Form – Edmonton 2004

 Name(s):____________________________________________________________

Address:_____________________________________________________________

Affiliation (for name badge- OPTIONAL):_____________________________________

 City:________________________ State:_____Zip:_________ Country:__________

Phone(s):____________________________Fax:_____________________________

E-Mail:______________________________________________________________

No.People

Item

Register By Jan 1, 2004

Register By Mar 1, 2004

Register By May 1, 2004

After May 1, 2004

Calculate Amount Due

 

Registration Two-Day
(Friday & Saturday)

$125

$160

$190

$220

 

 

Registration: pre-conference ex-member workshop (Thursday 10:00 am - 5:00 pm) – Ex-members only.

$25

$45

$60

$75

 

  Registration: pre-conference workshop for people born or raised in cultic groups (Thursday 7:00 pm – 9:00 pm) – free to ex-member workshop or conference registrants Free Free Free Free  

 

Registration: pre-conference family workshop (Thursday 10:00 am - 5:00 pm). Coping with Cult Involve- ment: A Handbook for Families and Friends is  required. Purchase at www.cultinfobooks.com/ onsite.

$35

$55

$70

$85

 

 

Registration: pre-conference workshop for mental health professionals (Thursday 7-9:30 pm) [Nonprofessionals may attend as observers.]

Free

Free

Free

Free

 

 

One-Day Registration
Check day:                Friday [    ] Saturday [     ]

$75

$95

$110

$125

 

Contribution (help provide scholarships for financially needy ex-members)

$

Payment: _____Check  ____Visa  ____MasterCard           Total

$

CCNo. ________________________________________Exp. Date: __________

 

All rates are per person.  Registration includes conference fee onlyAttendees need to make their own sleeping and meal arrangements with the University of Alberta Conference Center or hotel.  To ensure that you get a room, make your room reservation ASAP  (see Facility page). Room and meal rates are very low compared to hotels.  Enter above the number of people and appropriate amounts for registration fees. All fees are per person. Please pay in U.S. dollars drawn on a U.S. bank or an international money order or via credit card (Visa or MasterCard only). Registration fees do NOT cover meals or room. Your contributions will help ex-members/students needing financial assistance to attend.  See discount columns for early registration fees. Don't forget credit card information at the bottom of the form. Fax, mail, or e-mail this form to AFF, P.O. Box 2265, Bonita Springs, FL 34133 (fax: 732-352-6818; e-mail: aff@affcultinfoserve.com). Friday and Saturday conference programs begin promptly at 9:00 a.m. Arrive early to obtain your registration packet.

Information on travel to Canada can be found at:

 http://travel.state.gov/tips_canada.html

Here is some information from that site:

Visas are not required for U.S. citizens entering Canada from the U.S. You will, however, need:

(1) proof of your U.S. citizenship such as your U.S. passport (For information on obtaining a U.S. passport, check with one of the regional passport agencies located throughout the U.S.) or certified copy of your birth certificate issued by the city, county or state in the U.S. where you were born. If you are a naturalized U.S. citizen and do not have a passport, you should travel with your naturalization certificate. A driver’s license or Social Security card is NOT valid proof of citizenship.

(2) photo identification, such as a current, valid driver’s license.

All U.S. citizens entering Canada from a third country must have a valid passport.

Alien permanent residents of the U.S. must present their Alien Registration Card, commonly called a “Green Card.”

If you are a dual U.S./Canadian citizen you should always present yourself as a Canadian citizen when entering Canada. However, U.S. citizens should use their U.S. passports when entering or leaving the United States.

Due to international concern over child abduction, single parents, grandparents, or guardians traveling with children often need proof of custody or notarized letters from the other parent authorizing travel. (This is in addition to proof of citizenship as explained above.) Any person under the age of 18 and traveling alone should carry a letter from his/her parent or guardian authorizing the trip. Travelers without such documentation may experience delays at the port of entry.

For further information, including information on student or business travel, visitors can contact the Embassy of Canada at 501 Pennsylvania Ave, NW, Washington, DC 20001, (202) 682-1740, see their Internet home page at http://www.cic.gc.ca or contact the nearest Canadian consulate. (A list of Canadian consulates is at the end of this brochure.)

 

 
Related Information
Ω Calendar of Events
Ω Workshop Events: ex-member
Ω Workshop Events: ex-member agenda
Ω Workshop Events: family
Ω Workshop Events: mental health