Brand Revival - Event Registration

Event Registration - Mindmatching™, Toronto, Jan 30, 2007

Name:

(First Name then Last Name)

Title:

Company:

Address:

City:

State/Prov:

Zip/Postal Code:

Country:

Email:

Phone:

e.g. (555)555-5555

Fax:

e.g. (555)555-5555 (if available)

Additional Registrants

Name 2:

(First Name then Last Name)

Title 2:

Email 2:

Name 3:

(First Name then Last Name)

Title 3:

Email 3:

	Seat(s) only
Price per seat:	$699.00	CDN
GST	48.94
Total	$747.93	CDN

Registration Close: Send this Registration by facsimile to our offices at (613) 475-4951 to hold a seat for 10 days while your payment is in transit. Registration closes noon e.s.t., 2 business days prior to event date or until seats are filled.

Cancellation/Transfer Policy
Registrant substitution is permitted up to the day of the event. However, no cancellations or refunds are permitted for seat(s). Refunds are not permitted for non-attendance. If registrant substitution is not an option, you may be able to attend another BrainFood event within 9 months of the event date herein with prior arrangement with us. In the event of a declared emergency, health threat, catastrophe or unavoidable circumstances, the event may be postponed to a future date. No liability is assumed by BrainFood Partners Inc. for changes in schedule, speakers, date or location or seat availability.

YES, you may share my information with your Sponsors.

Payment Method
* All payments in Canadian funds

Corporate Cheque/Money Order
Payable to BrainFood Partners Inc. for the amount shown above.
Payment is due upon registration; payments received after 10 days of registration may result in cancellation.
Mail with printout of our email invoice sent to you to when you click “Submit”:

BrainFood Partners Inc.
P.O. Box 702
Brighton, ON K0K 1H0

You must click “Submit” to complete your registration and payment by cheque.

By submitting this form, I acknowledge that I have read and agree to the registration information and conditions above. (If you do not click Submit below, you will not be registered nor gain entry to the event.)

Any questions?