| Name: |
(First Name then Last Name) |
| Title: |
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| Company: |
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| Address: |
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| City: |
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| State/Prov: |
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Zip/Postal Code: |
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| Country: |
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| Email: |
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| Phone: |
e.g. (555)555-5555 |
| Fax: |
e.g. (555)555-5555 (if available) |
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Additional Registrants
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| Name 2: |
(First Name then Last Name) |
Title 2:
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Email 2:
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| Name 3: |
(First Name then Last Name) |
| Title 3: |
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Email 3:
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Seat(s) only
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| Price per seat: |
$699.00 |
CDN |
| GST |
48.94 |
|
| Total |
$747.93 |
CDN |
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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. |
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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. |
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YES, you may share my information with your Sponsors. |
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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.)
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Any questions?
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