AWSCPA 2003 National Conference Conference Registration & Hotel Reservation Form Fill out this form completely for both registration and hotel reservations Name: Firm: Address: City: State: Zip: Telephone: Fax: E-Mail: Is this your first AWSCPA conference? Yes No Breakout Session Selection - Check session you will attend; See schedule for topics Tuesday, June 24, 2003 Exchange Sessions (3:30 p.m. - 5:10 p.m.) AE PA Wednesday, June 25, 2003 Breakout Sessions (10:10 a.m. - 11:00 a.m.) PP1 MI1 TAA1 Breakout Sessions (11:10 a.m. - 12:00 p.m.) MI2 TAA2 Breakout Sessions (2:00 p.m. - 2:50 p.m.) PP3 MI3 TAA3 Thursday, June 26, 2003 Breakout Sessions (10:10 a.m. - 11:00 a.m.) PP4 MI4 TAA4 Breakout Sessions (11:10 a.m. - 12:00 p.m.) MI5 TAA5 Breakout Sessions (2:00 p.m. - 2:50 p.m.) PP6 MI6 TAA6 Breakout Sessions (3:20 p.m. - 4:10 p.m.) PP7 MI7 TAA7 Fees - Check the Applicable Fees (see brochure for descriptions of registrations) Early Early Bird By April 18 Early Bird By May 16 Regular Member Full Registration $395 $475 $525 Non-Member Registration $445 * $525* $600* Daily Member Tuesday Wednesday Thursday $350 $350 $350 Daily Non-Member Tuesday Wednesday Thursday $375 $375 $375 Optional Tuesday Museum Dinner qty. $50 each $50 each $50 each Additional Reception Tickets Tuesday Wednesday Thursday $20 each $20 each $20 each * The $50 difference can be applied to membership dues if you join within 30 days of the conference. Payment Charge my Mastercard, Visa or American Express. Credit Card Number: Expiration Date: Hotel Reservation All educational events will take place at the Wyndham Montreal. Reservations received after May 23, 2003 will be accepted on a space and cost availability basis only. AWSCPA's preferred rate is $205.00 Canadian (~$137.00 US) per room for single, and $215.00 Canadian (~$144.00 US) for double occupancy plus applicable taxes (currently at 14.5%). 1. Complete the form fields below. A confirmation will be sent to you directly from the Association within three weeks after receipt of this form. 2. Indicate your choice of accommodations. All changes should be made directly with the American Woman's Society of CPAs office. 3. Use a credit card number for guarantee purposes to the AWSCPA National Office. Deposit checks should be made payable to the Wyndham Montreal. One night's accommodations will be charged as a deposit. Deposits are refundable if AWSCPA is notified of any cancellations at least 96 hours in advance of arrival date. Indicate your reservation choice: Single Double -- Share with: Occupant(s): Arrival Date: Departure Date: Smoking Non-Smoking Would like a roommate (a member of the AWSCPA staff will contact you prior to rooming) Special Requests: Guarantee method: Charge my American Express Discover Master Card Visa Carte Bianche Card Number: Expiration Date: