REGISTRATION FORM FOR CANADIAN GRADUATE STUDENTS

IASSIST/CAPDU Conference 1999: May 17 through May 21, 1999
Building bridges, breaking barriers: the future of data in the global network

Please complete the following form to register for the conference.

Last Name:  __________________________________________________________________

First Name: __________________________________          Initials:   __________

Institutional Affiliation: ___________________________________________________

Mailing Address: 
Street: ______________________________________________________________________

City:   ______________________________________________________________________

Prov.:  __________       Postal Code: __________

PHONE (incl. area code) (_____) ________________ Fax: (_____) ________________

E-mail address: ________________________________

I am enrolled in the following institution and post-graduate degree program:

______________________________________________________________________________

I will attend the following parts of the IASSIST - CAPDU conference:
Circle appropriate answers:

Wednesday morning (plenary and sessions)       	Yes     		No    

Wednesday afternoon (plenary and sessions)     	Yes     		No 

Thursday morning (plenary and sessions)        	Yes     		No

Thursday afternoon (poster session)               Yes     		No 

Friday morning (plenary and sessions)          	Yes     		No

Friday afternoon (sessions)          	          Yes     		No

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TICKETS 

Tickets MUST be ordered at time of registration.

Lunch, $20.00 per person  Wed.   #of tickets   _________
                          Thurs. # of tickets  _________
                          Fri.   # of tickets  _________
                                                           Subtotal__________

Reception at the CN Tower
Tickets $55.00 per person            # of tickets	_________Subtotal___________

Banquet
Tickets $90.00 per person            # of tickets	_________Subtotal___________

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                                                             TOTAL ___________  
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Please return this form by May 10th to:

Conference Services c/o IASSIST         OR  Fax to: (416) 979-5212
160 Mutual Street, Suite 101
Toronto, Ont.
Canada, M5B 2M2