Thursday, March 10th, 2016
9:00 a.m. to 4:00p.m. (registration at 8:30 a.m.)
Lacombe Memorial Centre
5214 – 50 Ave Lacombe AB
Please fill out a separate registration form for each participant.
Name:______Date:______
Company/Organization:______
Address:______Phone:______
Town/City:______Province______Postal Code______
Email______
Are you an AISC Member? Yes No
You can become a member by completing the attached membership application form and mailing in your fee.
Registration Fees
Registration - by March 4th, 2016
Non-Members = $94.50 ($90.00 + GST $4.50)
Members = $73.50 ($70.00 + GST $3.50)
Student Rate = $36.75 ($35.00 + GST $1.75 )
After March 4th
Non-members = $116.55 ($111.00 + GST)
Members = $95.55 ($91.00 + GST)
Payment Options (please do not mail cash):
1. Cheque made payable to Alberta Invasive Species Council
2. Please invoice me: contact
Mail your registration and payment to
Alberta Invasive Species Council,
17507 Fort Rd NW
Edmonton AB
T5Y6H3
2016 Membership Application
By completing this membership form you are agreeing to support the goals of the AISC.
PLEASE PRINT
Name: ______
Organization Name: ______
Address: ______
City: ______Province: ______
Postal Code: ______
Phone Number: (____) ______
Email address: ______
What sector do you represent? (For board nomination purposes)
Government of Alberta
Other Government (i.e. Municipal, Federal)
Industry
Individual /Non-Government Organization
Memberships may be purchased at any time but are effective for the current calendar year only (Jan 1st to Dec 31st)
Please choose the appropriate membership category
Regular $31.50 ($30.00 + GST $1.50)
Student or Senior (65 plus years) $10.50 ($10.00 + GST $0.50)
Organization* $105.00 ($100 + GST $5.00)
*No organizational membership is required if your organization is a current sponsor.
Total Enclosed: $______
Cheque or Money Order payable to Alberta Invasive Species Council
And mail to: Alberta Invasive Species Council
17507 Fort Rd NW
Edmonton AB T5Y 6H3