Registration Form District Council #(Enter Meeting Code)

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Registration Form District Council #(Enter Meeting Code)

ULI BRITISH COLUMBIA REGISTRATION FORM ● DISTRICT COUNCIL #8157-1302 Event Title: The City in 2050: Creating Blueprints for Change Part 10: Redefine Vancouver? Three Generations of City Planners Tell Us What They “Really” Think (Summer Social to follow) Event Date: Wednesday, July 11, 2012, Terminal City Club, 837 West Hastings Street, Vancouver, BC Event Fees: **This event offers a special “event/membership bundle” – your opportunity to JOIN ULI NOW AND ATTEND THIS EVENT FOR FREE. Pre-Registration Deadline: Online - July 10, 2012, All other ways – July 9, 2012. After July 10, call 604.761.8060. Refund Request Deadline: Refund requests must be made in writing no later than July 10, 2012; refund requests will not be accepted after this date. Fax requests to: 1-410-626-7148. Three easy ways to register: Online http://britishcolumbia.uli.org Phone 1-800-321-5011 (Credit card payment only) (Credit card or check payment)

Fax 1-410-626-7148 (Credit card or check payment)

*If paying by check, telephone pre-registration is required to ensure inclusion in the meeting registry of attendees and to obtain a prepared name badge. Make check payable to ULI British Columbia and mail to ULI British Columbia, PO Box 418363, Boston, MA 02241-8363 ______ULI Member # Informal Name for Badge ______Name +If payment has not been ______received prior to the Title registration deadline, a credit ______Company card guarantee will be required ______onsite. No credit card charges Address will be processed if payment is ______received within 1 week of the City State/Province Zip/Postal Code event. ______Telephone Fax ______Email* *Confirmations are sent via email by next business day.

Registration Fees Member Non-Member **JOIN ULI AND ATTEND EVENT FOR FREE

 Private $70 $85 $210 associate/$530 full membership  Public Sector/Nonprofit $70 $85 $150 associate/$290 full membership  Young Leader (under 35) $50 $70 $170 under 35 years of age  Student (full-time) $50 $70 $65 full time academic student membership  Media complimentary Please note: All fees are in US Dollars. Registration increases by $15 after pre-registration date. For multiple registrations, please duplicate this form.

Please indicate your payment option below.  Check: payable to ULI British Columbia  Credit Card American Express Diners Club Discover MasterCard VISA

Card Holder Name ______

Card Number ______Exp. Date ______

Cardholder Signature ______8157-1302

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