REGISTRATION FORM (completion and remittance of this form is must
for people being nominated and attending the conference.
Please register me for the National Conference on Race Relations to be held in March.
I am enclosing a cheque/money order for $40 per head as registration fee.
Please notify me the date, time and venue of the Conference

Name/Nom: _____________________________________

Designation/Titre:_______________________________________

Organization/Organisation:____________________________________

________________________________________________________________________________

Address/Adresse:
__________________________________________________________Postal Code:___________________

Business Tel./ Tél. Au Bureau: _________________________

Facsimile/Télécopieur:
________________________________

E Mail............................................................ (Please give your email address for prompt communication)
Please make cheques payable to Human Rights and Race Relations Centre, and mail to: Secretart, Human Rights and
Race relations Centre Suite 500, 120 Eglinton Ave. East, Toronto, ON M4P 1E2.
Registration deadline is February 1,