Riley Information Services Inc

INFORMATION & PRIVACY '97

$340 (plus GST where applicable).

To register or for further information:
Call: 403-422-9313
Fax: 403-422-2785
E-mail: 102430.3271@compuserve.com
http://www.rileyis.com

Please fill out this form and fax or mail with cheque or money order to the address below. Cancellation with full refund allowable up to three weeks before the conference, less $50 administration fee, or send replacement delegate.

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Fax or Postal Registration Method

INFORMATION & PRIVACY '97

April 28-29, 1997

___________________________________________________:Name
___________________________________________________:Title
___________________________________________________:Organization:
___________________________________________________:Address
___________________________________________________
_____________________________| _____________________:Postal Code

______________________:Telephone
______________________:Fax
______________________:e-mail

[ ] I require special meals (an organizer will contact you).

[ ] Yes, I would like to have my name, organization and phone number included on a list
to be distributed among participants of the conference.

Mailed cheques should be made payable to:

RILEY INFORMATION SERVICES INC.
633 BAY STREET, SUITE 2207
TORONTO, ONTARIO M5G 2G4

GST No.R117997965