REGISTRATION for BCPOA Justice Symposium 2005

Coast Hotel & Convention Centre Langley City 20393 Fraser Highway (near the MCFD & PSSG Probation offices) Langley, BC, V3A 7N2

Ph. (604) 530-1500 Room Reservations: 1-800-716-6199

Name ______________________________________ Date: ______________________________

Occupation_____________________________________

Home Address: __________________________________________________________________

City_________________________BC, Postal Code_______________

Home Phone___________________________E-mail ______________@_____________________

Work Address:___________________________________________________________________

City_____________BC, Postal Code________________ Work Phone________________________

Previous Member of BCPOA? Annual Membership of $40.00

Early Registration before Sept 23, 2005
PO/Student $90.00 Community Member $100.00 On day only $50.00

Late Registration after Sept 23. 2005
PO/Student-$100.00 Community Member-$100.00 One day only $50.00

Will you attend the Gala Banquet Thursday Eve? Tickets $35.00 Number of tickets: __________

If you are staying overnight, register separately with Cascade Casino and Coast Hotel Room Reservations: 1-800-716-6199

Print this form and Fax this registration form to 604-793-9442
POs Fill out a form for your employer: You can claim 1.5 days Professional Development & 1.2 day travel time (you cannot claim travel expenses)

Forms and cheques payable to the BCPOA may be mailed to:

British Columbia Probation Officers Association
c/o #16-46689 First Avenue
Chilliwack, BC, V2P 1X5.