Registration Instructions: Please carefully complete the following form. Fields marked with an * are mandatory. After submission you will receive a confirmation letter e-mailed to the address you have entered. After registration you may proceed with your travel and hotel arrangements. Hotel reservations can be made from our Hotel & Travel page.

Prior to submission, It may be useful to print a copy of this page for your records. Thank you.

FIRST NAME:	Mr. Ms. Dr.    *
MIDDLE INIT/NAME:
LAST NAME:	*
POSITION/TITLE:	*
COMPANY:	*
PLANT:
ADDRESS 1:	*
ADDRESS 2:
CITY:	*
STATE/PROVINCE:	--- Please select location --- --- Canada --- Alberta British Columbia Labrador Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon --- USA --- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming --- Other ---   (If Applicable)
ZIP/POSTAL CODE:	*
COUNTRY:	Select Region Asia Africa Australia Europe Middle East Latin America North America South America <-------------------- *
PHONE NUMBER:	*	FAX:
E-MAIL:	*
Please check if you will be accompanied by spouse or partner
PAYMENT OPTIONS
No credit card payments accepted. Personal cheques welcome.
SELECT DESIRED CURRENCY:   $2,750 CAD     $2,650 USD
PAY BY MAILED CHECK (PAYABLE TO: The Brimacombe Continuous Casting Society)
PAY BY WIRE TRANSFER
(Checks or transfers covering more than one individual should clearly indicate names and confirmation numbers of all parties)
MAILING ADDRESS: WIRE TRANSFER INFORMATION: The Brimacombe Continuous Casting Course c/o Mary Jansepar Materials Engineering Department The University of British Columbia Frank Forward Building, Room 309 6350 Stores Road Vancouver, B.C. Canada V6T 1Z4 Bank Information: The Royal Bank of Canada 10th and Sasamat Branch 4501 West 10th Avenue Vancouver, B.C. Canada V6R 2J2 Brimacombe Continuous Casting Society Account Number: 07600-003-1016344 SWIFT CODE: ROYCCAT2