Delegate's Name
Title
Municipality/Organization
Address
City
Province/Territory	Select Province NFLD NB NS PEI QC ON SK MB AB BC YK NWT NUV
Postal Code
Telephone
Fax
Email Address
Language Preferred	EnglishFrench
Special Requirements (Allergies, wheel chair, access, etc)
Registration Fee
Registration fees for the 2010 Canadian Capital Cities Organization Conference includes all seminars and meals as indicated in the agenda.
$495 Member Delegate
$565 Non-Member Delegate
$260 Companion
Name (meals and social functions)
$225 One day only (one day pass does not include gala dinner)
$75 Gala Dinner
Extra Activities
Behind Closed Doors on Saturday, July 10th, guided walking tour
$15/adult
$10/child
$18 Riverjam at the Delta on Friday night, July 9th
Total Payment	$0
Method of Payment
Please make cheques payable to: New Brunswick Provincial Capital Commision 103 Church Street Fredericton, NB E3B 4C8