Registration Form

REGISTRATION FORM

STEWARD TRAINING: SOCIAL APPROACH

NOVEMBER 23-25, 2017

HÔTEL ET SUITES LE DAUPHIN DRUMMONDVILLE, DRUMMONDVILLE

Please return the registration form by fax to 514-288-0494 or 1-800-288-0494 or by email to arenaud@pipsc.ca

NO LATER THAN OCTOBER 23, 2017

Last name:
First name:
Address:
City:
Province: Quebec
Postal code:
Tel.: (work):
Tel.: (home):
Member no.:
Email address:
Group:
Department/Agency:

Need for accommodation (please check the days for which we need to book you a room):

Wednesday*

Thursday

Friday

*Mileage and travel time to the hotel (no reservation will be made for Wednesday if this section is not completed)

KM:
TIME:

Special needs for meals, etc.:

Will someone be accompanying you? yes no
(Please note that because PIPSC has not negotiated any arrangements for spouses, additional costs will be charged to individual accounts.)

Accommodation and meals (except suppers) will be provided onsite and your salary will be reimbursed for Monday, Tuesday and Wednesday. You must request leave from your employer and obtain a leave form signed by your immediate supervisor. Your transportation and other expenses will also be reimbursed, as provided in PIPSC’s Travel Policy. Travel and salary claims are available on the PIPSC site.

Training begins: Thursday, November 23, 2017 at 8:30 a.m.
Departure from hotel: Saturday, November 25, 2017 at 4 p.m. (approx.)

N.B. Should you need to cancel, please notify us as quickly as possible or PIPSC may have to charge you for the cancellation costs.