INKSHED XVI CONFERENCE REGISTRATION FORM

Thursday May 6 Sunday May 9, 1999

Hotel Mont St. Gabriel, Quebec

NOTE: The conference begins at 5:00 p.m. on Thursday and ends at noon on Sunday.

Name: ___________________________________________________________________

Address: _________________________________________________________________

Telephone (H) _______________________ Fax: _______________

(W) _______________________ Email: _____________

REGISTRATION DEADLINE MARCH 8: Limit 50 (First come, first served)

CONFERENCE REGISTRATION: $60.00 ($50.00 for students and underemployed)

(If you must cancel before April 6, your registration will be refunded. Cancellation fee after April 6 is $10.00)

ACCOMODATION REQUEST: (includes 3 nights and all meals - Thursday dinner to Sunday lunch) Please pay the hotel when you arrive.

Double/per person $261.00 (plus taxes) ______ Single $369.00 (plus taxes) ______

Smoking _____ Nonsmoking _________

Name of person you wish to share a double room with __________ Anyone ____

FOOD:

Special dietary request _________________________________________

TRANSPORTATION REQUIREMENT: (approx. $25.00 round trip from either location)

Permission to send your email/phone numbers to copresenters yes ____ no ___

Please send your completed registration form and conference fee only (accommodation to be paid at the hotel on arrival) to: