SECOND ACCOMPANYING PERSON- ACTIVITY REGISTRATION

Last name_______________________________________First name_________________________________
Monday  Montréal City Tour  Cocktail  
Tuesday  Botanical Garden,etc Reception  Wednesday Excursion to Ottawa  

ACCOMMODATION RESERVATION
  Single room    |  Hotel - 1st choice_____________________
  Double room   |  Hotel - 2nd choice____________________
Arrival date_______________________________________Departure date____________________________

REGISTRATION AND ACCOMODATION FEES IN CANADIAN DOLLARS

Attendee	$700 per person ($650 before March 15, 2000)
Accompanying person(s)	$350 per person ($325 before March 15, 2000)  x_________ person(s)
Accommodations	$_______ x ________nights
Bank transfer fee  $20 per registration form
	Total Amount Payable

  Bank transfer to National Bank of Canada, 2 Complexe Desjardins, PO Box 246, Montréal, Quebec, Canada, H5B 1B4  
bank code BNDCCAMMINT, branch //CC000610961, account 0013022.
As reference, specify your name, accompanying person and Ciriec 2000. 
Please attach a copy of bank transfer request to this form.
American Express   Mastercard    Visa
Card number___________________________________________________________________
Card holder____________________________________________________________________
Expiry date____________________________________________________________________

I would like to receive more information regarding the optional tours  English    French

I have read and undestood the terms and conditions, and I agree to comply with them.

Signature_______________________________________Date___________________________