TO REGISTER:

 Note:   Please do not BOTH Fax and Mail your registration.  Pre-registration deadline:  May 26, 1999

PRINT this form & FAX to:

   (416) 504-4505      (Credit card payment must accompany faxed registrations)

Or MAIL, with payment, to:

   Spirituality in the Workplace, c/o Congress Canada,
x   49 Bathurst St., Suite 100, Toronto, Ontario    M5V 2P2

INQUIRIES:

   Re: registration only: (416) 504-4500.  Email: spiritualityatwork@congresscan.com

REGISTRATION FORM

SPIRITUALITY IN THE WORKPLACE

Conference June 2-4, 1999

University of Toronto Medical Building ~ Toronto, Ontario, Canada
Please circle one: Mr. Mrs. Ms. Miss. Rev. Prof. Dr. Other:
First Name(s): Last Name:
Organization: Street Address:
City: Prov./State:                              
Postal/ Zip Code: Country:
E-mail Address: Work Tel: Home Tel:
Special Needs (incl. Dietary): Fax (dedicated only): 

Conference Fee

Up to April 16, 1999

   ( ) CDN $200

Workshop Preferences*
 

Up to Apr 30, 1999

   ( ) CDN $250 Wed June 2, 1:30 A xxx
 

May 1 and after, 1999

   ( ) CDN $300 Wed June 2, 3:30 B xxx

Wed. Evening Event

     ( ) CDN $25 Thur June 3, 1:30 C xxx

Thur. Evening Event

     ( ) CDN $25 Thur June 3, 3:30 D xxx

TOTAL PAYABLE:

     ( ) CDN $ __________

* See www.spiritualityatwork.org

Please make cheques payable to: Spirituality in the Workplace Conference. (Please ensure cheques have the registrant's name written on them.)   NOTE:  No refunds will be issued; substitution may be made at any time up until the time of on-site registration.
CREDIT CARD PAYMENT Circle One:  Visa / Mastercard / Amex       Expiry Date: _________________
Card #: ____________________ Name on Card: _____________________________________________
Note: the charge will come through as
"Congress Canada"		 Signature: ________________________________________________
Home Page New:   One-day / Single-session registration