| 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: |
$249.00 |
CDN |
| GST |
17.43 |
|
| Total |
$266.43 |
CDN |
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Registration Close: Registrations will
close when room is full or 5:00 pm est., February 14, 2007 (Valentine's
day). Don't gamble on seats being available at the last minute and
register now. |
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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. 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. You also agree and accept to the Terms and Conditions below. |
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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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