REGISTRATION FORM

2017 Annual Conference
Cultural and Religious Diversity in the Administration of Justice
**Monday, October 2 to Wednesday, October 4, 2017, Montreal**

If you are completing the form for someone else, please use his or her name.
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Transaction information

Early bird rate - until August 2, 2017
(Already a CIAJ Member)
$795.00$
Early bird rate - until August 2, 2017
(CIAJ membership included)
$895.00$
Young lawyer rate (5 years or less)
(Already a CIAJ Member)
$525.00$
Young lawyer rate (5 years or less)
(CIAJ membership included)
$600.00$
Student rate (CIAJ Membership included)$75.00$
I will attend the networking cocktail
(Oct. 2, 5 pm - 6:30 pm)
$0.00$
Guest$0.00$
I will attend the networking cocktail
(Oct. 3, 5 pm - 6:30 pm)
$0.00$
Guest$0.00$
I wish to make a donation$

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Total: $
*Payment method
INCLUSIONS: Breakfasts, coffee breaks, luncheons, reception and material.

CANCELLATION FEE: Only registrations cancelled by email at least 7 days prior to the event are reimbursed, except for 10% of the amount which is withheld to cover administrative fees. At any time, a participant may be replaced by another person without charge.

ACCOMMODATION: A block of rooms has been reserved at A block of rooms has been reserved at the Hyatt Regency Montreal Hotel (1255 Jeanne-Mance). Reservations at 1-800-361-8234 (standard room: $219). Participants are required to make their own hotel reservations before September 9, 2017 to take advantage of this preferred rate.
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Organization's registration number: 10686 1529 RR0001
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