Name(s)   ____________________________________________________________

Company   ____________________________________________________________
		
Address   ____________________________________________________________

          ____________________________________________________________

Telephone __________________________  Fax ____________________________

Email	  ____________________________________________________________

Oct.2004 Workshops                                          Workshop
                   Number of     choose one                 Number(s)
                   Attendees    $Can. or $US       Amount   (1,2,or 3)

         One Day    (    )   x  C$395 or US$300 =  ______   ______

        Two Days    (    )   x  C$695 or US$530 =  ______   ______

      Three Days    (    )   x  C$995 or US$760 =  ______   ______

                                       subtotal =  ______

 GST (Federal sales tax = 7% of subtotal above) =  ______

                                          Total =  ______  ___$Can. or ___$US

Payment
Please make cheque or money order payable to "APL Borealis". 
Payment may be in Canadian or US dollars. 

Please contact us if payment by credit card is necessary
(Visa and MasterCard accepted).

Registration forms and payment may be mailed to: