One Day Workshop Registration Form

Workshop Name: Date: Location: Time: Cost: 9:00 a.m. to 4:00 p.m. $150.00 per person, plus tax

Company/Organization Name:

Company Address (City/Province/Postal Code):

Participant Name(s):

Telephone: E-mail:

Fax: Website:

Registration Fee Information: Payment is due when you register. Please make cheque payable to Nova Scotia Minister of Finance, and forward to Nova Scotia Human Rights Commission, c/o Melissa Brayley, Race Relations, Equity & Inclusion, 1601 Lower Water Street, 6th Floor, PO Box 2221, Halifax NS B3J 3C4. Tel. 902-424-4971. Fax 902-424-0596. Registration will be closed one week prior to the workshop. Refunds will not be issued for cancellations received within 14 days or less before the workshop.

Nova Scotia Human Rights Commission, 1601 Lower Water Street, 6th Floor, PO Box 2221, Halifax, NS B3J 3C4 Phone: 902-424-4971 Fax: 902-424-0596 Email: brayleym@gov.ns.ca