SAC 2008 REGISTRATION FORM
		August 14-15, 2008 Sackville, New Brunswick, Canada

Surname: _________________________  Given Name: ____________________________

Organization: ______________________________________________________________

Address: ___________________________________________________________________

____________________________________________________________________________ 

Country: ___________________________________ Postal/ZIP Code: ______________

Phone: _______________________ E-mail: _____________________________________

[ ] Check here if you do NOT want your contact information included in the
    workshop list of participants.

[ ] Check here if you are a full-time student.

CONFERENCE REGISTRATION: (Please check the appropriate box.)
[ ] Early Registration (by July 27):  ................... $300.    $________
[ ] Full Registration (after July 27):  ..................$400.    $________
[ ] Extra Banquet Tickets @ $50 each:................(  )x$50.     $________
TOTAL AMOUNT PAYABLE:............................................. $________

Notes: - The total amount must be paid upon registration.
       - Receipt will be issued for the registration amount only.

Special Dietary Needs: _____________________________________________________

____________________________________________________________________________


Method of Payment:[ ]Credit Card   [ ]Cheque in Canadian funds
                  		      (payable to "Mount Allison University")
                                                                   
Payment by Credit card (select one):    [ ]Visa     [ ]Mastercard

Name on Card: __________________________________________

Card Number: ______________________________  Expiry Date: _____/_____(mo/yr)

Cardholder's signature: ____________________________________________________

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Mail or FAX this form to:
(506) 364-2223
Attn: Mrs. Judy Van Rooyen
Mount Allison University Bookstore
10 King Street 
Sackville, NB, E4L 1A3, Canada