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FRANÇAIS

2008 CONFERENCE REGISTRATION

Note: Please don't register online if you are a speaker at the 2008 NICC or if you are a member of the NICC 2008 Advisory Committee. Instead, please contact laura.viau@msaresearch.com.

Delegate Conference Fees  
Individual Delegates C$1,550 ea.
Five or more Delagates C$1,325 ea.

If registering five or more delegates please do not use this form. Rather, please contact Laura Viau at laura.viau@msaresearch.com or 416-368-0777 x 5 to make arrangements.

Fields with an asterisk (*) are required.
DELEGATE INFORMATION
* Name (First): 
* Name (Last): 
Name as you want it to appear on badge (if different): 
Title: 
* Organization: 
* Address Line1: 
Address Line2: 
* City: 
* Province/State: 
* Country: 
* Postal Code: 
* Email address: 
* Phone: 
Fax: 
Coupon Code (Optional): 
CONCURRENT SESSION OPTIONS
For complete conference agenda details, please click here.

Please select ONE of the following two options for the Thursday afternoon concurrent business session:
  Risk Manager Issues Panel
  Actuarial Auto Panel
Please select ONE of the following two options for the Friday morning concurrent business session:
  Commercial Lines - Managing in a Soft Market
  Insuring to Value - The Guaranteed Replacement Cost Conundrum
SOCIAL GUEST REGISTRATION
Will you be accompanied by a social guest?
 Yes       No
Social Guest, name: 
Social Guest, badge name (if different): 
Click here for a complete description of the NICC Spousal Program
Please select one of the following guest/spousal program options
A. Conference Fee Only
(includes all conference meals and cocktail receptions)		 $250
B. Conference Fee plus Oct 1 Le Nordik Spa: Access to Scandinavian Baths + 60 minute massage + Lunch $440
C. Conference Fee plus Oct 2 Spousal Program: Steam Train Excursion + Lunch + Parliament Hill Tour $400
D. Conference Fee plus Oct 1 Nordik Spa plus Oct 2 Spousal Program $590
How many will be attending the Gala Dinner on Thursday October 2nd?
 1       2       Sorry, cannot attend
Please advise if you or your guest have specific dietary restrictions
Please advise if you or your guest are physically challenged and require special services
PRE-CONFERENCE GOLF TOURNAMENT - OCT 1.
HAUTE PLAINES REGISTRATION

For details on NICC's golf tournament, please click here.

Tournament Fee: C$100 ea.
Includes: Green fees, power cart, boxed lunch, two beverages and taxes.
Club rental is not included in fee.
 Yes, I would like to register for the NICC golf tournament on October 1, 2008
 I would like to register for the Nordik Spa package instead of the golf tournament for $190
 None
I require rental clubs:   Right Handed      Left Handed
 Yes, I would like to register my social Social Guest/Spouse for the golf tournament
My social guest requires rental clubs:   Right Handed      Left Handed
Complete the foursome list below, if this has already been arranged.
If entering as a single and prefer a foursome to be arranged for you please CHECK THIS BOX:  

Other Players in Foursome (each player must be registered for the NICC and for the tournament):
1: Name:  Organization: 
2: Name:  Organization: 
3: Name:  Organization: 

Notes:
NICC will make best efforts to accommodate foursome requests.
If you are planning on registering others in addition to yourself and your social guest/spouse for golf, please do not use this form. Rather, contact Laura Viau at laura.viau@msaresearch.com or 416-368-0777 x 5 to make arrangements.
Note: Metal spikes are banned at all ClubLink Courses.
COMMENTS
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