50th Annual Conference May 24-26, 2015 Montreal Another 50 Years: Where to From Here? Conference Registration Fees (Tax Included) Category of Registration Early Bird Special (March 15th, 2015) Regular (after March 15th, 2015) One Day Rate CTRF or TRF Member $575.00 $690.00 $345.00 Non-Member * $735.00 $850.00 $455.00 Full-time Student Member $260.00 $315.00 $155.00 Full-time Student Non-Member * $295.00 $350.00 $155.00 Senior Member (65+ years) $400.00 $690.00 $345.00 Senior Non-Member (65+ years) * $495.00 $785.00 $455.00 Companion $165.00 $195.00 NA Note: Member rates apply only if 2015 membership fee of $140.00 ($84.00 for seniors, $32.00 for full-time students) plus HST (13%) has been paid to the CTRF Secretariat. Memberships are payable at CTRF Headquarters in Ontario and subject to the Ontario Harmonized Sales Tax (HST) (13%). Conference registrations are subject to the Quebec GST (5%) plus QST (9.975%). * Will become 2015 Member upon conference registration (HST Registration No. R126274562. If you are exempt, please include exemption number.) No refunds are available for Conference Authors. Refunds (less a $75 administration charge and the membership fee portion) will be given for other delegates & companions received up to April 15, 2015. We regret no refunds for conference registration fees can be given after that date. Delegate substitutions are acceptable. To register, please send page 2 of this registration form with your cheque, or VISA/MasterCard information to: Canadian Transportation Research Forum, P.O. Box 23033, Woodstock, ON, N4T 1R9 Telephone: (519) 421-9701 Fax: (519) 421-9319 Email: [email protected] Accommodations The Marriott Chateau Champlain: 1050 Rue de la Gauchetière Ouest, Montréal, Québec H3B 4C9 Reservations can be made by contacting the Hotel directly by: Telephone: 1-800-200-5909 (toll-free in Canada and the United States) or directly (514) 878-9000. Online: CTRFMarriottChateauChamplain Please quote The Canadian Transportation Research Forum in order to receive the special conference rate of $189 per night, plus applicable taxes. Please book your room early in order to ensure the best selection of the available block of rooms. Reservations will be accepted, subject to availability, until the room release date of April 30, 2015 CTRF 2015 Conference Registration Name: Title: Organization: Mailing address: City: Province/State: P.Code/Zip: Country: Telephone: Email: My member (name & contact) information may be published in the CTRF Membership Directory: Yes No Companion name Companion email Attendee list: A list of attendees displaying attendee’s name, position, employer and city may be provided to conference delegates, exhibitors and select sponsors. □ please check here if you do not wish to appear on this list. English Please indicate the following: Language of preference: Dietary restrictions (religious, allergies, etc.) Delegate Will you attend the President’s Reception on the evening of Sunday, May 24? Français Companion Will you attend lunch on Monday, May 25? Will you attend lunch on Tuesday, May 26? Will you attend the Awards Dinner on Tuesday May 26? Will you attend the Transportation Data Needs Workshop on the morning of Wednesday, May 27? How would you like your copy of the Conference Proceedings?* Check only one option Book YES NO YES NO YES NO YES NO YES NO USB Flash Drive *Deadline for Proceedings format preference is March 20, 2015, otherwise first come, first served at the conference registration desk. Non-Member Registrants Only Type of employer/organization: Federal Government/Agency/Corp. Provincial/Territorial Government/Agency/Corp. Municipal Government/Agency/Corp. Terminal Operator/Logistics Provider Private Sector – Consultant Carrier Manufacturer/Distributer/Retailer Not-for-Profit University/College Retired Other, please specify: ______________________ Occupational/research focus (please check all that apply): Marine Rail Road Air Policy & Planning Public Transit Environment ITS R&D Safety & Security Pipeline Logistics/Supply Chain Mgmt Other, please specify: _________________ Delegate Registration including Tax (unless exempt) $ Check all that apply: Current Member Renewing Member Member Prior to 2014 (but not in 2014) Regular Senior Full-Time Student One-Day Registrant (Mon) (Tue) Companion Registration including Tax (unless exempt) $ Total Payable including Tax (unless exempt) CTRF HST# R126274562 $ Non-Member If you are tax exempt, please provide exemption #: ___________________, otherwise tax must be charged. Cheque to Canadian Transportation Research Forum Card Number: Signature: VISA MasterCard Expiry Date: Name on Card: CTRF/GRTC: P.O. Box 23033, Woodstock, Ontario N4T 1R9 Phone: 519-421-9701 Fax: 519-421-9319 www.ctrf.ca
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