DELEGATE INFORMATION Surname: First Name: (As you wish to have it appear on your name tag) Company Name: Address: City/Province: Postal Code: Phone # Fax: E-mail: PARTNERS INFORMATION (Companion) Surname: First Name: (As you wish to have it appear on your name tag) IS THIS YOUR FIRST CRCA CONFERENCE? Delegate Yes No         Companion Yes No In order to better plan the 2007 Conference , please indicate your participation in the following activities. ACTIVITIES Delegate Companion Wednesday, June 18th Welcoming Reception Yes No Yes No Thursday, June 19th Companions' Program (Continental Breakfast) Yes No Yes No Lunch (Westin Bayshore) * Speaker: Rick Hansen (Man in Motion) Yes No Yes No Olympic Venue Presentation Yes No Yes No Harbour Dinner Cruise (All) (Downtown skyline, North Shore Mountains English Bat, False Creek) Yes No Yes No Friday, June 20th Breakfast Yes No Yes No Golf (Northview Golf Club) OR Yes No Yes No Lunch & Winery Tour OR Yes No Yes No Lunch & Artist Creative Workshop Yes No Yes No BBQ Dinner (Northview Golf Course) Yes No Yes No Saturday, June 21st Companions' Program (Continental Breakfast) Yes No Yes No Presidents' Ball (Westin Bayshore) Entertainment: Brent Butt (Corner Gas) Band: Randy Bachman Yes No Yes No Register # Price Total Member Delegate x $800.00 Member Companion x $600.00 Non-member Delegate x $850.00 Non-member Companion x $650.00 Subtotal: 5% GST or 13% HST: Total Please list here if you have any special dietary or accessibility needs

CANCELLATION POLICY
Should it be necessary to cancel your participation, please send written notification to the CRCA office. Please note that after June 16th, 2008 there can be no refunds but substitutions will be accepted.