REGISTRATION


Name
   
Company / Organization
   
Address
   
Telephone
   
Fax
   
E-Mail
   
Receipt? No   Yes   Addressed to
   
Certificate for Bar of Quebec No   Yes
   
Vegetarian?


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RATES

MEMBERS (until August 26th inclusively) 300.00$ + GST/QST = 341.78$
MEMBERS (after August 26th) 350.00$ + GST/QST = 398.74$
       
Non-membERS (until August 26th inclusively) 400.00$ + GST/QST = 455.70$
Non-membERS (after August 26th) 450.00$ + GST/QST = 512.66$
       
STUDENTS   125.00$ + GST/QST = 142.41$

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PAYMENT METHOD BY CREDIT CARD

   
Visa
Master Card
 
Credit card number (+10$) Total :
Expiration
 
Signature __________________________________________
  NON SECURE ONLINE REGISTRATION

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PAYMENT METHOD BY CHEQUE



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Contact ALAI Canada
C.P. 20035, Succ. De Vinci Repentigny (Québec) J5Y 0K6
Téléphone : (514) 993-1556 // E-Mail: alaican@aei.ca