THE SECOND INTERNATIONAL SYMPOSIUM ON EUTHANASIA AND ASSISTED SUICIDE

NEVER AGAIN

 

Register in one of the three following ways:

1. Print this page (adjust your margin settings) and send it to us by

NOTE: FOR REASONS OF costs related to credit card service, We prefer that you pay by cheque.

 

 

Yes, I will be attending the Symposium.
 

I am paying my fee of

_____ $199 - Regular

_____ $139 - students or persons with disabilities

(Registration fee includes two lunches and one dinner)

 

 

 by cheque (We ask you to pay by cheque if you can. This will save us costs associated with credit card transactions)

 

 

by Visa

 

by MasterCard

Card #

 

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Expiry Date _____________________

 

Name (Please Print):

Street:

City - Prov./State:

Postal/Zip Code:                     Phone:

Email:

 

________________________________________________________________

2. Reserve your Hotel accommodation:

Room rates: $139.00 regular  --  $179.00 suite.

 

•  CLICK HERE FOR online room reservations at
The National Conference Center

 

For More Information: Contact the office of the Euthanasia Prevention Coalition

at: info@epcc.ca

or call us toll free 1-877-439-3348.