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: $595 (paid before Sep. 1, 2011)  
    $630 (Sep. 2 - Oct. 15, 2011)  
    $695 (after Oct. 15, 2011)  
Non-Member: $715 (before Oct. 15, 2011)  
    $815 (after Oct 15, 2011)  
Daily Delegate Registration:
Includes: all available speaker sessions, meals, hospitality suite, and evening event for selected day.
Thursday, Nov. 17    
  Member: $250 Non-Member: $350
Friday, Nov. 18    
  Member: $250 Non-Member: $350
Saturday, Nov. 19    
  Member: $250 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. 17
C.A.F.E. Cabaret
• Members $75
• Non Members $120
  
Friday, Nov. 18
Canadian Youth Talent Competition
• Members $25
• Non Members $25
  
Saturday, Nov. 19
Host Social
• Members $90
• Non Members $150
  
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 Sep. 1, 2011.
• Refund (less 50%) if written cancellation is received between Sep. 2 - Oct. 15, 2011.
• No refunds will be granted after Oct. 15, 2011.
SUBTOTAL = (Part A) + (Part B) = (C)  
(C) X 4% processing fee = (Fee1)  
(C+Fee1) x 13% HST TAX (118829365TR0001) = (Tax1)  
   
TOTAL = C + Fee1 + Tax1  

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