ࡱ> %` bjbj"x"x -L@@ tT ^!<  $"h%!!!.   4´)-R,.!0^!%%%(R|d2!! ^!T T T dT T T   Canadian International Institute of Applied Negotiation Registration Form Basic Leadership CourseRegister today: (1) Online; (2) By Mail; (3) By Fax; or (4) By TelephonePlease address all my correspondence to my Home or Office as follows:NAME (Please Print) (As it will appear on certificates)TITLE: SECTION: COMPANY/DEPT:MAILING ADDRESS: CITY: PROVINCE: POSTAL CODE:TEL HOME: TEL WORK: FAX: EMAIL: How did you hear about our courses? Have you taken CIIAN courses before? YES NORegistration Fee: Your registration fee covers the selected course and all course materials.Corporate Discount Rate: A $30.00 discount per person is available when 3 or more people attend the same course from the same Organization.Cancellation Policy: A cancellation made later than one week prior to a course will be subject to 50% of the course fee. Cancellations made earlier than one week prior to a course will be subject to a $75.00 Administration Fee.PAYMENT OF REGISTRATION FEESOTTAWA COURSE FEESSELECTION (please indicate date )Basic leadership$1,000 + $ 50.00 GST = $ 1,050.00  November 6-7, 2008 Special Workshop ProgramsTo be advised* All courses are approved for Federal Income Tax Deduction. Your paid invoice is your receipt.Payment Method Please invoice my employer. Billing information as follows:Company:Attention/Reference:Address:City/Province:Postal Code: My cheque or money order is attached (made payable to CIIAN ) Please bill by VISA or MasterCard (if registering by mail or fax). Information below. If registering online, please fax or call with your credit card information. For your security, do not provide credit card information online.Cardholder Name:Account Number:Expiry Date:Cardholder Signature:If Employer is paying tuition, does the employer wish a tax receipt to be issued? YES NO (Please Note: if this question is left blank or answered NO, no tax receipt will be issued)Name or Organization to which the tax receipt is to be issued. (Please Note: if the Employer is paying the cost of tuition, the receipt will be issued in Employers name only upon request by the Employer): Registration closes two weeks prior to each course. Early registration will help ensure a place. Please return this completed form with payment to: CIIAN, 320 Laurier Avenue East, Ottawa, Ontario K1N 6P6 Leadership Domestic Training Program, 320 Laurier Avenue East, Ottawa, Ontario K1N 6P6 Tel: (613) 237-9050 Fax: 613) 237-6952 Email: ciian@ciian.org Website: www.ciian.org  9cst 1 i , F ʺʺʺʺp]MM]M]M]hDCJOJPJQJ^JaJ$hD5CJOJPJQJ\^JaJ$hD5CJOJPJQJ\^JaJ*hD56CJOJPJQJ\]^JaJhD5OJPJQJ\^J"hD56OJPJQJ\]^JhDCJOJPJQJ^JaJhDOJPJQJ^J$hD5CJOJPJQJ\^JaJ$hD5CJ OJPJQJ\^JaJ hD9KcdGAkd$$IfT&&&44  aytooT$IfPkd$$IfT&&  &44  ap ytooT $$Ifa$$77$If]7^7a$ 1 2 : uAkdH$$IfT&&&44  aytooT$IfAkd$$IfT&&&44  aytooT: ; E F T U u4Akdq$$IfT&&&44  aytooTAkd$$IfT&&&44  aytooT$IfAkd$$IfT&&&44  aytooTU g h v w uAkd7$$IfT&&&44  aytooTAkd$$IfT&&&44  aytooT$If   i j u4Akd`$$IfT&&&44  aytooTAkd$$IfT&&&44  aytooT$IfAkd$$IfT&&&44  aytooTj , uAkd&$$IfT&&&44  aytooTAkd$$IfT&&&44  aytooT$If, - s2AkdS$$IfT&&&44  aytooTCkd$$IfT&&&44  aytooT$IfAkd$$IfT&&&44  aytooT  & - C ^ l m  )-BFOSbdquZDEJK{}ͺͣͣ*hD56CJOJPJQJ\]^JaJhD$h`5CJOJPJQJ\^JaJ$hD5CJOJPJQJ\^JaJ$hD5CJOJPJQJ\^JaJhDCJOJPJQJ^JaJhDCJOJPJQJ^JaJ3 \C$&d'dIfPQ$$$%d&d'dIfOPQa$Pkd$$IfT&&  &44  ap ytooT-$$$d%d&d'dIfNOPQa$   & ' ( ) * ffMMMM$$d'dIfNQ$$&d'dIfPQa$)$ x$%d&d'dIfOPQTkd8$$IfT0&&44  aytooT* + , - . 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TTKKKAJALP  ' % Ld!??% ( ' % Ld^!??% ( ' % Ld!??% ( ' % LdG!??% ( ' % LdG!??% (  Rp @"Arial3&z Arial..h0hlN0dv% T$KKKAJA $LHave you taken CIIAN courses before?        % T`KKKAJA LT TTKKKAJA LP TTKKKAJA LP TTKKKAJA LP Rp @"Arial#1 0|ˮ0`1 03&z Arial  / 0pˮ02h0hlN0dv% T`AKKKAJA LTYESTBKKKAJAB  Ld       TTKKKAJA LP % TTKKKAJA LP % TXKKKAJA LPNOTTKKKAJA LP  ' % Ld!??% ( ' % Ld^!??% ( ' % Ld!??% ( ' % Ld:J!??% ( ' % Ld:J!??% (  % T=`KKKAJAZLpRegistration Fee:    % TT@_KKKAJAZLP % T>+`KKKAJAZLYour registration fee covers t       TT,>~`KKKAJA,Z,Lhe selected course and all course materials.            TT>`KKKAJAZLP  ' % Ld;=;!??% ( ' % Ld;<;^!??% ( ' % Ld;=;!??% ( ' % Ld>>J!??% ( ' % Ld>>J!??% (  % TKKKAJALCorporate Discount Rate:        % TKKKAJAGLA $30.00 disco &WMFCunt per person is available when 3 or more people attend                   TPKKKAJA+Lthe same course from the same Organization.            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