ON-LINE REGISTRATION FORM

Atmosphere 2011 Feb 3-5

University of Manitoba Faculty of Architecture
Mediated Cities


First Name
Last Name
Affiliation/Company/School
Address Line 1
Address Line 2
City				Province/State
Postal/Zip Code				Country
Telephone				Fax
Email
I will be attending the Opening Reception on February 3, 2011.

Conference registration includes admission to all events, including receptions. Lunches will be provided on Friday and Saturday for all registered participants.
REGISTRATION FEES (in CAD)	Cost [until January 7]	Cost [after January 7]
Full Conference Student* MAA Member** Regular	$50	$100
	$120	$175
	$175	$250
Friday Only Student* MAA Member** Regular	$25	$50
	$70	$100
	$100	$150
Saturday Only Student* MAA Member** Regular	$25	$50
	$70	$100
	$100	$150
* Proof of status must be provided upon arrival
** Manitoba Association of Architects are eligible for a discounted rate in recognition of the MAA's significant sponsorship of the event.

Special food requirements/allergies

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Privacy Policy
The 2011 Atmosphere Symposium to be held in Winnipeg, Manitoba, Canada and the Faculty of Architecture at the University of Manitoba is respectful of your privacy. Personal information, requested of you in the conference registration process, will not be used outside of this event. Personal information provided by you to Atmosphere is not sold, traded or otherwise delivered to a third party other than contact information that will be used only for future Atmosphere Symposia.

Refund Policy
Notification of cancellation must be received by email to Brandy O'Reilly (umoreilb@cc.umanitoba.ca) before January 31, 2011 in order to receive a refund of a paid registration fee, less an administration fee of $25CAD for all registrations. Registrations may be transferred from one individual to another without an administration fee before January 31, 2011, provided that the original register is at the same status as new register. That is, a student's registration is transferred to another student and not a regular register.