On-Line Registration Form

or Download a PDF Form

Title:
Name:
Mailing Address:
Institutional Affiliation:
City:
Province/State:
Country:
Postal/Zip Code:
Telephone:
Fax:
Email:
Proposed Paper Title:
Registration Fee Structure (in Cnd $s)
   Before December 31, 1999  After December 31, 1999
Member

  $35.00

  $55.00
Non-Member

$45.00

$65.00
Member Student/Seniors

$25.00

  $45.00
Non-Member Student/Seniors 

$45.00

  $65.00
Wole Soyinka Public Lecture * Add $10.00 to Total Fees Add $10.00 to Total Fees
Wole Soyinka Tribute ** Add $5.00 to Total Fees Add $5.00 to Total Fees

*Nobel Laureate Wole Soyinka public lecture at Jubilee Auditorium, ADD $10.00 or purchase ticket
directly through Charge-by-Phone at (780) 451 8000, online at http://www.ticketmaster.ca
**Tribute to Nobel Laureate Wole Soyinka (space limited), please ADD $5.00

Total Registration Fees:

Please note: Registration is not confirmed until payment has been received

Please mail cheque or money order to:
Dr. Chris Nsaliwa
10 Students' Union Building
University of Alberta
Edmonton, Alberta, Canada
T6G 2S7

email: cnsaliwa@telusplanet.net

or