Annual Conference Registration Form June 10th – 13th, 2015

Annual Conference Registration Form
June 10th – 13th, 2015, Regina, SK
All registration forms must be received at the ACA office no later than May 8th, 2015
Section One:
❏ I am an ACA member
❏ I am a non-member
Name: ___________________________________ Institution: ___________________________________
Mailing Address: ________________________________________________________________________
City: ___________________________ Country: __________________ Code: ______________________
Phone: _______________________ Fax: ____________________ E-mail: _________________________
Section Two: Personal requirements: Is this your very first attendance at an ACA Conference?
Yes
No
Delegate list: please check this box if you wish to opt-out such that your name will not appear on the list of delegates: ❏ opt-out
❏ Dietary restrictions (e.g. allergies)
Please indicate any food allergies or other dietary restrictions (e.g. no shellfish, vegetarian) for meal & refreshment services.
Member Rate
Non-Member Rate
Section Three: Registration Fees
by Apr 24
by May 8 On-Site
by Apr 24 by May 8
On-Site
see page 2 for registration information
Full Conference
$378
$445
$495
$601
$707
$757
Single Day
$222
$272
$354
$404
Student
$225
$275
0
Guest Registrant name
$101
Section Four: Session selection: (please circle your choices; refer to the Conference at a Glance or On-line Program for descriptions)
Thursday 10:30 am
Thursday 1:30 pm
Friday 2:00 pm
Friday 4:00 pm
Saturday 10:30 am
Saturday 1:30 pm
2a
3a
7a
8a
10a
11a
2b
3b
7b
8b
10b
11b
2c
3c
7c
8c
10c
11c
Section Five: Register for Social Activities* (please select the number of tickets (#) you require for each activity)
See the Social Activities webpage for details, http://archivists.ca/content/social-activities; please pre-register to assist your
conference organizing team.
#
0
0
Activity
Welcome Reception, n/c, open
to delegates & registered guests
Pitchfork Fondue
$35 max 60 participants
#
0
0
0
*
Activity
Conference Orientation n/c, (limited to
#
Activity
only eligible individuals)
Regina Cyclone Walking Tour
Bring $5 for your guide, max 25
Closing Dinner and Dance
$49.00 per person
0
On to Ottawa & Riot Walking Tour
Bring $5 for your guide, max 25
ACA reserves the right to cancel an event & refund any fees in the event that the minimum number of registrants is not achieved by April 24/15
Section Six: Payment & Options: GST applies on goods & services delivered in Saskatchewan; GST Registration #106732688
Registration fee payable
Registered Guest fee payable
Social activities fees payable
$ 378.00
$ 0.00
Sub-total before tax
$ 378.00
5% GST
$ 18.90
Total amount paid
$ 396.90
Please select your preferred method of payment:
select payment method
a. Click Print and mail the completed form with your Cheque or Money Order payable to
Association of Canadian Archivists
b. Enter your credit card information, click Print, then sign and fax this form to ACA to pay by credit card:
year
Card Number:
_________________________________________ Expiry date:month
______/______
Reset Form
Signature:
Name of Card holder (please print)
Print Form
Delegate Registration Information
General Registration Information:
Register online or complete page 1 onscreen, print and sent to
the ACA office, at the address above. Place your cursor over
each input field and click to type or select a response.
Full payment must accompany all registrations. Cheques
should be made payable to the Association of Canadian
Archivists and sent to the address shown at the top of this
page. On-line registrations for the conference as well as ACA
member application forms are available at www.archivists.ca.
A current ARMA member may register at the ACA member’s
rate, while s/he must use the PDF registration form.
Included in your Registration Fee:
• Full registration: Welcome Reception, two lunches and daily
refreshment breaks are included only for pre-registered
delegates.
• One-day registrant: To meet the needs of those unable to
attend the entire conference, a single day option is offered.
Your 1-day registration includes that day’s refreshment
services & lunch (as scheduled) if you pre-register.
Deadlines:
Early Bird rate
until April 24/15
Pre-Registration
until May 8/15
Delegates wishing to pre-register for the conference must
ensure their registration form and appropriate payment are
delivered to the ACA office by midnight on the date of preregistration deadline.
On-site Registration:
From May 9, the on-site registration rate will apply.
On-site registrations are processed at the Conference
Registration Desk in the Hotel Saskatchewan. Delegates
registering on-site should bring the completed registration form
and full payment to the Registration Desk. Please note that
food services cannot be provided for On-site registrants.
Guest Registrant Fee:
Please include this fee if you are bringing a guest who wishes
to join you for one or more of the lunches & refreshment
breaks, or the Welcome Reception.
Receipts:
Registration confirmation and payment is sent to each delegate
by e-mail (where we have your e-mail address), or by mail.
Further Information:
Visit our website at www.archivists.ca
Call or fax the ACA office at
Phone
613.234-6977
Fax
613.234-8500
e-mail
aca@archivists.ca
Social Activities:
Please check the Social Activities page on the Conference
website, http://www.archivists.ca/content/annual-conference
for activity descriptions, times, locations, costs, where to meet,
capacity and any other details.
Code of Conduct
ACA does not tolerate harassment in any form. In keeping with
the principles of its Code of Ethics, the Association of
Canadian Archivists is committed to providing a harassmentfree environment for its members and others who participate at
its conference and events. In registering for the ACA
conference, you agree to comply with the Code of Conduct.
The Code of Ethics and Code of Conduct can be viewed at
http://archivists.ca/content/code-ethics
Refund Policy:
A refund request must be received in writing no later than the
pre-registration deadline. A cancellation penalty of $100.00
will be charged. Refunds for registration fees will not be
issued after May 8, 2015.
Session Seating:
Session seating is on a ‘first-come’ basis. Session rooms are set
for the maximum number.
Session Selections:
Indicating your preferred session choices will assist with
planning room assignments for each session; you are not
obliged to attend the session you select.
For Institutional Members:
If your organization has an institutional membership, you may
send a limited number of individuals using the ACA member
rate. To take advantage of this rate, all registrations must be
received as a single package. Discounts may not be applied
after the conference.
For Non-Members:
Not an ACA Individual Member? The conference period is a
great time to join ACA and save! You receive full member
privileges immediately; a subscription to Archivaria and the
ACA Bulletin, member discounts on programs and publications,
membership in the Special Interest Section(s) of your choice,
and numerous opportunities for networking with archives and
information colleagues across the country. Join now to take
advantage of priority registration for the 2015 Conference.
Not an ACA Institutional Member? Join now to have access
to the member rates and benefits described above.
For more information about ACA membership benefits and
application forms, please visit www.archivists.ca