Alliance for Equality of Blind Canadians (AEBC)2017 National Conference and Annual General Meeting

Toronto, OntarioFriday, April 28 - Sunday, April 30, 2017

REGISTRATION FORM

Your Information

First and Last Name:

Street Address (Line 1):

Street Address (Line 2):

City and Province:

Postal Code:

Telephone Number:

Cell Phone:

E-mail Address:

Lunch on Saturday will be provided in the meeting room. If you have any allergies or dietary restrictions, including vegetarian or vegan, please specify:

Do you have a guide dog?

Travel

How will you be travelling to Toronto?1. By Air2. By train3. By Bus4. By Car

Estimated time of arrival:Departure Time:

Payment

How do you expect to be paying your registration fee of $50.00? (Write "YES" next to the option you plan to use.)

1. You can pay by mail, by mailing a cheque payable to Alliance for Equality of Blind Canadians to:

Alliance for Equality of Blind Canadiansc/o Marlene Morell279 Beaver Meadow RoadBeaver Meadow, Nova Scotia  B2G 2K8

Please include a copy of this registration form so that we know who the payment is for.

2. You can pay online with your PayPal account, or with VISA or MasterCard. If you say "YES" to this, we will have PayPal send you an invoice to pay, so that we can easily keep track of who has and has not yet paid.

3. You can pay over the phone with VISA or MasterCard. Call and leave a message for our treasurer at 1-800-561-4774 (option 2). You will need to provide your name (so we know who the payment is for), the name of the credit card holder and the postal code of the billing address for the card, your credit card number, expiry date (month and year), and 3- or 4-digit CVV code. You should also leave your e-mail or phone number in case we need to contact you about your payment.

Rooming Preferences

Are you willing to share your room with another person?

If so, with whom?

Hotel Reservations

Guest Room Block and Rates: Standard king or standard two beds, $149.00 plus taxes per night. Hotel room rates are subject to all applicable tax and fees, currently 13% Harmonized Sales Tax (HST) and 2.66% Destination Marketing Program (DMP).

Please note additional costs for triple and quad occupancy may apply.

Reservations for the event will be made by individual attendees directly with Marriott reservations at 1 (800) 847-5075. (Please let the reservation agent know that you are booking your reservation under the Alliance for Equality of Blind Canadians guest room block.)

You can also book online by activating the following link:

Book your AEBC Conference hotel room now!

The reservations must be booked 30 days prior to your stay. Rooms are blocked until March 29th, 2017.

Please Note: The reservation block is for Thursday, April 27th through to Sunday, April 30th, 2017. If a guest wishes to extend the stay the hotel will make every effort to match the price upon availability, wherever possible.

Please complete and email this form to Dar Wournell no later than April 14th, 2017 at dar@blindcanadians.ca.

We look forward to seeing you at the 2017 AEBC national Conference and annual general meeting in Toronto, Ontario!