Convention Delegate Registration Form

(Please complete a separate form for EACH delegate)
Name: Title:
Organization:
Mailing Address:
City: Province: Country:
Phone: EMail: Postal
Code:
Fax:    
Name to appear on Delegate
Badge (if different from above)
 
Please explain any food allergies or special dietary needs :
Do not include my name on the list of Delegates given to the Trade Show Exhibitors

 

PART A: CONVENTION REGISTRATION

Full Delegate Registration:
Includes: all available speaker sessions, meals, hospitality suite, and evening events.
  Total ($cdn)
Member: $699 (paid before May 31, 2010)  
    $730 (June 1 - Oct. 4, 2010)  
    $775 (after Oct. 4, 2010)  
Non-Member: $850 (before Oct. 4, 2010)  
    $895 (after Oct. 4, 2010)  
Daily Delegate Registration:
Includes: all available speaker sessions, meals, hospitality suite, and evening event for selected day.
Thursday, Nov. 18    
  Member: $275 Non-Member: $350
Friday, Nov. 19    
  Member: $275 Non-Member: $350
Saturday, Nov. 20    
  Member: $275 Non-Member: $350
SUBTOTAL (A):  

 

PART B: EVENING EVENT TICKETS
PAYMENT INSTRUCTIONS
Additional Event Tickets:
Event tickets are included with your registration but additional tickets can be purchased for guests.
  Qty.
(Member)
Qty.
(Non-Member)
Total ($cdn)
Thursday, Nov. 18
C.A.F.E. Cabaret
• Members $90
• Non Members $135
 
Friday, Nov. 19
Canadian Youth Talent Competition
• Members $25
• Non Members $25
 
Saturday, Nov. 20
Host Social
• Members $105
• Non Members $165
 
SUBTOTAL (B) :  
• Payment must accompany the registration form.
• A fee of $75 will be charged for cheques returned non sufficient funds (NSF).
• Official receipts will be provided at the convention.

CANCELLATION & REFUNDS
• Refund (less 20%) if written cancellation is received before Sept. 15, 2010.
• Refund (less 50%) if written cancellation is received
between Sept. 15 - Oct. 15, 2010.
• No refunds will be granted after Oct. 15, 2010.
SUBTOTAL = (Part A) + (Part B) = (C)  
(C) X 4% processing fee = (Fee1)  
(C+Fee1) x 5% GST TAX (118829365TR0001) = (Tax1)  
   
TOTAL = C + Fee1 + Tax1  

Note: A 4% processing fee will be charged on all credit card transactions.