CARIS 2017 Registration June 19-22, 2014 | Sheraton Hotel – Ottawa, Canada To register Send the completed registration form(s) to Teledyne CARIS by fax +1 (506) 459-3849 or email [email protected]. Registration will be confirmed upon receipt of payment of the registration fee. Registrant information Title (Mr., Dr., etc.)First nameLast nameJob title Company/Organization Address City/TownProvince/StateCountryPostal/Zip Code PhoneFaxRegistrant’s email Conference selections All prices are in US Dollars (USD) Boot camp (June 19-20) Registration includes: • • • • • Two-day boot camp Dedicated workstation Morning and afternoon coffee breaks Luncheons Evening icebreaker on June 19 User group meetings (June 19-20) Please select which user group meeting you will be attending. � HIPS and SIPS/Bathy DataBASE (BDB) or � Hydrographic Production Database (HPD) Conference sessions (June 21-22) Registration includes: • • • • • Two-day conference sessions Full access to the exhibit hall Morning and afternoon coffee breaks Luncheons Gala dinner on June 21 Guest event pass � Data Processing Boot Camp CARIS Subscription Members Early registration (before March 10, 2017) .................................... $300 USD Regular registration ......................................................................... $400 USD Non-Subscription Members Early registration (before March 10, 2017) ................................ $400 USD Regular registration .................................................................... $500 USD CARIS Subscription Members Regular registration ........................................................................ $75 USD Non-Subscription Members Regular registration .................................................................... $125 USD � Conference sessions CARIS Subscription Members Early registration (before March 10, 2017) ................................ $300 USD Regular registration ..................................................................... $400 USD Non-Subscription Members Early registration (before March 10, 2017) ................................. $400 USD Regular registration ..................................................................... $500 USD � Spouse/guest to attend social events ................................. $125 USD Total amount …………………………………………………………………………………………………$ Page 1 USD Payment information Please select one of the following payment options below. Full payment MUST accompany all registration forms. CARIS 2017 registration is confirmed upon receipt of payment. For security reasons, if paying by credit card we advise payment information be sent by fax only. � Credit card Credit Card A service fee of 4% will be charged for payments made by credit card. � MasterCard � Visa Card number CVC/Security code Expiry date Name (as it appears on card) � Purchase order Purchase orders will be accepted from government organizations and academic institutions only. Please provide contact information in the event questions arise regarding payment. NameEmail address Program and session cancellation Teledyne CARIS reserves the right to cancel programs and/or sessions because of low registration. In the unlikely event of a cancellation, all registrants will be notified and will receive a full refund if applicable. Cancellation/refund policy Cancellations must be submitted in writing. Cancellations made by February 28, 2017 are subject to a $50 USD cancellation fee. Cancellations after February 28, 2017, as well as no-shows, are liable for the full registration fee. All substitutions must be made in writing. Substitutions can be made at any time. Please submit all cancellations and substitutions in writing by email to [email protected] or fax +1 (506) 459-3849. � I agree to the above terms and conditions Name Signature Information 4 Email [email protected] or telephone +1 (506) 458-8533 Page 2 Date
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