ADVANCE REGISTRATION - CAJ Access to Information Seminar Saturday, April 26, 2003 - National Press Club - Ottawa - 10 a.m. to 1 p.m. (Press Club Entrance: Booth Building, 165 Sparks Street — on the Sparks Street Mall, just west of O'Connor. Take elevator or stairs to second floor. Press Club door is right in front of the elevators on the second floor.) Name: _________________________________ Address: ______________________________________________ City:_____________________ Prov: _____________ Post Code:________________ Phone-home:_________________ Work:______________ Fax:____________________ E-mail:___________________ Employer/School: __________________________________ Work address: _____________________________________ $30_____ Member $40_____ Non-Member (Advance discount rates) $20_____ Student Member $25_____ Student Non-member (All prices include GST) SELECT METHOD OF PAYMENT: ________ Enclosed is my cheque (or money order) payable to the Canadian Association of Journalists - National Capital Region (Mail by April 21) OR ________ Charge my Visa / ________ Charge my MasterCard Card # _______________________________________ Exp. date_____________________________________ Signature_____________________________________ HAVE YOU COMPLETED ALL SECTIONS OF THE FORM? SEND COMPLETED APPLICATION FORM TO: (Keep a copy of this form for your records) Fax to (613) 725-0570 (After April 21, only faxes with credit card info please.) Or mail to (prior to April 21): CAJ Ottawa - Access Event The Canadian Association of Journalists St. Patrick's Building, Carleton University 1125 Colonel By Drive Ottawa, Ontario K1S 5B6