TO REGISTER:

• Create a Username and Password. You will need these for program session registration. Please make certain that you remember them. If in need of help, please contact Debbie Pillar (905-542-7232 or 1-800-353-1107 ext. 232)
• After submission of your conference registration data, a conference registration confirmation e-mail with the details of your conference registration will be sent to the e-mail address that you have indicated. Once you are registered and Bridges has confirmed your payment you will have access to the conference Program Registration on-line form
• See below the registration form for conference fee schedule details, parking details, conference location details, accommodation information, on-campus meal plan and other details.

Delegate Information
User Name: (*)
Password: (*)
Confirm Password: (*)
First Name: (*)
Last Name: (*)
Name of School/Organization:
Professional Role:
Work Mailing Address - Street:
Suite/Unit:
City:
Province:
Postal Code/Zip:
Country:
Phone: (xxx-xxx-xxxx)
Extension :
Fax:
E-mail: (*)
Select Conference Dates:	Pre-Conference - May 15 Conference – May 16 - 17 Full 3-day Conference May 15 - 17
Are you a before presenter/co-presenter?	YesNo
Are you a Bridges member?	YesNo
Do you need on-campus parking?	YesNo
Select your accommodation plan:	I would like to rent a whole apartment unit and share with:                  I would like 1 room in an apartment and am willing to share accommodation (Bridges will assign roommates based on gender). I would like 1 room in an apartment and would like to share with the following person.      Please pair me with:       Check in Date:                   Check out Date:       Off-Campus Accommodation No accomodation required
Do you need on- campus breakfast?	May 15 May 16 May 17
Do you need on-campus dinner?	May 15
Special dietary needs:
Will you attend the May 16 Pub Night?	YesNo
Do you need hotel shuttle service?	YesNo
Payment Option:	VisaMaster CardChequePurchase Order

	Conference Fee	Total with tax	Bridges Member Conference Fee	Bridges Members Total with Tax
Pre-Conference - May 15	$160	$168.00 with GST $180.80 with HST	$120	$126.00 with GST $135.60 with HST
Conference - May 16-17	$350	$367.50 with GST $395.50 with HST	$262.50	$275.63 with GST $296.63 with HST
Full Conference - May 15-17	$450	$472.50 with GST $508.50 with HST	$337.50	$354.38 with GST $381.38 with HST
Presenter / Co: Presenter May 16-17	$150	$157.50 with GST $169.50 with HST	N/A

Lunch and refreshments will be provided on May 15-17

Friday night, May 16, we will be having a Pub Night on campus. Come have dinner, listen to music and network with your fellow delegates. No cover charge. Food and beverage are at your own cost.