Registration Form - Conferences

LANCASTER HOUSE REGISTRATION FORM (Toronto)

Please fill in this form, PRINT and FAX your registration to Customer Service (416) 977-5873.
Register four people for any one event and get the fifth registration for free for the same event.
Call (416) 977-6618 or 1-888-298-8841 for more information.

I am registering and paying by...

October 25, 2010

CONFERENCES

Health and Safety Conference only

Tuesday, October 26, 2010

$795 + HST

Workplace Safety and Insurance Conference only

Wednesday, October 27, 2010

$795 + HST

Health and Safety Conference & Workplace Safety and Insurance Conference

Tuesday, October 26, and Wednesday, October 27, 2010

$1490 + HST

PRE-CONFERENCE WORKSHOPS

Workshop on Bill 168: Exercising your rights, meeting your obligations under Ontario’s new
Bill 168

Monday, October 25, 2010

$595 + HST

Workshop on Return-to-Work Interventions: Developing effective approaches to workplace reintegration

Monday, October 25, 2010

$695 + HST

TOTAL:

REGISTRATION INFORMATION

First Name:
Last Name:
Job Title:
Organization:
Address:
City:
Province:
Postal Code:
Phone:	( )
Fax:	( )
E-mail:

Please specify any dietary restriction: Vegetarian Other Please specify:

Special Needs: Please let us know if you have any accessibility requirements or other particular needs.

MATERIALS

New! All conference attendees will now receive a USB flash drive pre-loaded with all of the conference materials, as well as a hard copy booklet containing summaries of each panel. Workshop attendees will receive all workshop materials in a binder.

* Please select a method of payment:
Note: We accept VISA and MasterCard

Payment must be received in full at least one business day
prior to the first day of the conference or workshop.

Receive a 5% discount before taxes on all credit card purchases.

		I am HST exempt. HST # R102967197.

		Credit Card #
		Cardholder's Name
		Cardholder's Signature
		Expiry Date (mm/yy)
		Credit Card (I will call you with my card number)
		Invoice

REGISTRATION FEE: Includes lunch, refreshments, and all materials.

CANCELLATIONS:
A credit note for the full amount will be issued for cancellations received by Monday, October 4, 2010.
Substitution of participants is permitted at any time.

HOTEL:
Sheraton Centre Toronto Hotel
123 Queen Street West
Toronto, ON
M5H 2M9
Phone: 416-361-1000; Toll Free: 1-800-325-3535
Special Conference Rate: $198/night; Deadline: Friday, September 24, 2010.

Lancaster House has reserved a limited number of hotel rooms available at a conference discount. To book a room quote Lancaster House.

Lancaster House 17 Dundonald St. Suite 200, Toronto, ON, M4Y 1K3
T: (416) 977-6618 or 1-888-298-8841 F: (416) 977-5873
E-mail: Lan@Lancasterhouse.com Website: www.lancasterhouse.com