UIR 2001 Conference - Registration Form

.GENERAL INFORMATION

*	Salutation:
*	First Name:
*	Surname:
*	Title/Position:
*	Company/Institution:
*	Address 1:
.	Address 2:
*	City:
*	Province/State:
		(Other)
*	Postal/Zip Code:
*	Country:
*	Business Phone:
.	Business Fax:
*	Email Address:
*	Student?

If yes, please forward a copy of your valid student identification or proof of full-time studies in order to qualify for student rates (by fax: 416-864-9047).

.

.COMPANION DETAILS

If you will be accompanied by a companion who will be attending any of the Social Functions or Social Excursions, please provide the following details (as you would like it to appear on your companion's name badge):

.*	Companion First Name:
.*	Companion Surname:
.	Company/Institution:

.DIETARY RESTRICTIONS

Do you have any dietary restrictions that must be considered for your meals
at the conference (e.g. food allergies, vegetarian, etc.)?
.

*	Delegate:
	Companion:
.

.REGISTRATION OPTIONS

Early-Bird Rate
(by May 11)

Regular Rate
(by May 31)

On-Site Rate
(June 1 and on)

Student
Rate

.....TOTALS

Indicate your registration choices below by checking the appropriate box(es) and including the appropriate rate(s) in the spaces to the right. Your registration form and payment must both be received by the deadlines indicated in order to qualify for the discounted rates. Full Conference and One-Day registrations include admittance to the Exhibit Hall & Field Demos.
	Full Conference:	$495 CDN $325 US	$555 CDN $365 US	$595 CDN $390 US	$255 CDN $170 US	$
	One-Day (Monday):	$200 CDN $133 US	$225 CDN $150 US	$240 CDN $160 US		$
	One-Day (Tuesday):	$200 CDN $133 US	$225 CDN $150 US	$240 CDN $160 US		$
	One-Day (Wednesday):	$200 CDN $133 US	$225 CDN $150 US	$240 CDN $160 US		$
	Exhibits & Field Demos Only:		$30 CDN $20 US	$45 CDN $30 US		$
	Additional UIR Proceedings* -->		$75 CDN $50 US	$75 CDN $50 US		$
	.
*	Total your registration fees and insert Subtotal A...			SUBTOTAL A		$
* Please Note: Full-Conference Registrants (including students) for the UIR Technical Sessions only will receive a complimentary copy of the hard-bound UIR 2001 Proceedings. If you are not a Full-Conference Registrant for the UIR Technical Sessions, or if you are and would like more than one copy of the Proceedings, please indicate the number of additional copies you would like to order above. If you would just like to receive your one complimentary copy, please leave the above "Proceedings" section blank. .

.SOCIAL FUNCTIONS		Delegate	Companion	Regular Rate (by May 31)	On-Site Rate (June 1 and on)	Full-Conference Registrants *	TOTALS
In order to help us order an accurate number of meals and refreshments, please indicate whether or not you (and your companion, if applicable) will attend the following social functions. You must purchase tickets for these functions by pre-registering here if you wish to attend. .
*	Sunday Reception			$20 CDN $15 US	$30 CDN $20 US	$0.00 *	$
*	Monday Reception			$20 CDN $15 US	$30 CDN $20 US	$0.00 *	$
*	Tuesday Banquet			$60 CDN $40 US	$75 CDN $50 US	$0.00 *	$
	.
*	Total your social function fees and insert Subtotal B...				SUBTOTAL B		$

* Please Note: For Full-Conference Registrants (excluding students), the Receptions & Banquet are included in your registration at no additional charge. However, in order to attend, you must still pre-register for these functions by indicating here whether or not you will attend and by entering 0.00 as your subtotal.

.

.SOCIAL EXCURSIONS		Delegate	Companion	Early-Bird Rate (by May 11)	On-Site Rate (May 12 and on)	TOTALS
Please indicate here whether or not you wish to purchase tickets for the Sunday Excursion to Niagara, the Monday Excursion to Toronto, or the Tuesday Excursion to St Jacobs. Please note: space is only guaranteed until the Early-Bird Deadline (April 30, 2001) for Social Excursions. After this deadline (April 30, 2001), space is not guaranteed and full On-Site Rates apply. .
*	Niagara Excursion			$150 CDN $100 US	$200 CDN $135 US	$
*	Toronto Excursion			$135 CDN $90 US	$185 CDN $125 US	$
*	St Jacobs Excursion			$80 CDN $55 US	$130 CDN $90 US	$
	.
*	Total your social excursion fees and insert Subtotal C...				SUBTOTAL C	$

*	TOTAL AMOUNT DUE (add A + B + C)	TOTAL DUE	$
	.

.WHICH SESSIONS WILL YOU ATTEND?

This section is for Full-Conference Attendees and One-Day Attendees only (including students).

Your registration at UIR 2001 allows you access to both the UIR Technical Sessions and Rehab Road Show Seminars. However, we ask that you register for either the UIR Technical Sessions or the Road Show Seminars. This selection will represent your primary session/seminar schedule. You will still be able to attend the other sessions/seminars.

.*	I will attend the .

.METHOD OF PAYMENT

.*	I will pay by...

If paying by Cheque or Money Order:
	Please make cheques payable to "CATT - University of Waterloo". We accept cheques and money orders in CDN and US funds. Please write your full name and company/institution on the back of your cheque/money order and mail along with a copy of this completed registration form to:
		UIR 2001 Organizing Committee CATT, Department of Civil Engineering University of Waterloo 200 University Avenue West Waterloo, ON N2L 3G1 CANADA
If paying by Credit Card:
	Please complete the following section with your credit card details. This form will be sent unencrypted. If you are not comfortable submitting your credit card details by this method, please fax your credit card details to 416-864-9047 or mail to the above address (be sure to include a copy of this completed registration form). We accept VISA, MasterCard and American Express. Please note that all foreign credit card payments will be processed in CDN funds, at the exchange rate applicable on the day of processing. .
		Type of Card:
		Credit Card Number:
		Expiry Date:
		Name on Card:
If paying by Bank Transfer (US Funds Only):
	Please forward the details of your completed bank transfer, along with a copy of this completed registration form by fax to 416-864-9047 or by mail to the above address. Please transfer your payment to:
		Bank #010 (Bank Name: CIBC)
		Transit #02102 (Branch Name: One Yonge Street)
		Account #02-14418 (Account Name: CATT - University of Waterloo)

.COMMENTS & FORM SUBMISSION

.Additional Comments:

	Check here if you do not wish to have your address and email address included in the participants' listing.
Students are reminded to forward a copy of valid student identification or proof of full-time studies in order to qualify for student rates. We look forward to seeing you at UIR 2001!