CONFERENCE REGISTRATION
CONFERENCE REGISTRATION NOVEMBER 21 AND 22, 2017 PACIFIC GATEWAY HOTEL • RICHMOND, BC
PLEASE COMPLETE ALL AREAS AND RETURN WITH PAYMENT TO: Boating BC Association 130 – 10691 Shellbridge Way • Richmond, BC • V6X 2W8 tel: 604-248-8906 • [email protected]
DELEGATE CONTACT INFORMATION
You will have an opportunity to register more than one delegate further down on the form. Please be prepared to provide email addresses for all delegates you are registering.
Name: ___________________________________________________________
Organization: _______________________________________________________
Email: ___________________________________________________________
Phone: _____________________________________________________________
REGISTRATION FEES
NAMES OF ADDITIONAL CONFERENCE DELEGATES
Registration includes all sessions, meals and entertainment. Note that early bird registration rates will end at 3:00 p.m. on Friday, September 15, 2017
Please list all additional delegates inlcuded in this registration, noting their name and email addresses. If you are registering more than 5 additional delegates, please print another form.
TICKET TYPE
Name: _______________________________________________________________________
EARLY BIRD RATE
REGULAR RATE
Boating BC member
$199
$249
Boating BC member company group of 5 (all individuals must be employed by the same company)
$875
$1145
Additional group tickets (initial group of 5 must already be purchased)
$175
$229
Email: _______________________________________________________________________
Non-Boating BC Member
$299
$299
Name: ______________________________________________________________________
$99
$99
Email: _______________________________________________________________________
Student
# OF TICKETS
Email: _______________________________________________________________________ Name: _______________________________________________________________________ Email: _______________________________________________________________________ Name: _______________________________________________________________________
Name: ______________________________________________________________________ REGISTRATION SUBTOTAL
$
GUEST MEALS AND ENTERTAINMENT Delegates are encouraged to invite guests for the evening meal and entertainment on November 21 for $70 per guest. Please advise Boating BC of any dietary restrictions.
Guest name: _______________________________
# GUESTS
Guest name: _______________________________
__________ x $70
Guest name: _______________________________
GUEST SUBTOTAL
Guest name: _______________________________
$
_________________
HOTEL RESERVATIONS Reserve your hotel room at Pacific Gateway Hotel: 1-866-382-3474 and quote the Boating BC Conference bloc code: 1711BOAT to secure the conference rate of $139.
Email: _______________________________________________________________________
FEES SUMMARY AND PAYMENT INFORMATION Registration fees:
$
Guest meals:
$
Subtotal:
$
Total owing: $
[ ] VISA/Mastercard number: ____________________________________________ Expiry: ____________________
3-Digit Security: _________________
Cardholder name: _______________________________________________________ Cardholder signature:_____________________________________________________ [ ] Cheque made payable to Boating BC Association Please note that registration fees are non-refundable after November 16, 2017.
PLEASE COMPLETE ALL AREAS AND RETURN WITH PAYMENT TO: Boating BC Association 130 – 10691 Shellbridge Way • Richmond, BC • V6X 2W8 tel: 604-248-8906 • [email protected]
DELEGATE CONTACT INFORMATION
You will have an opportunity to register more than one delegate further down on the form. Please be prepared to provide email addresses for all delegates you are registering.
Name: ___________________________________________________________
Organization: _______________________________________________________
Email: ___________________________________________________________
Phone: _____________________________________________________________
REGISTRATION FEES
NAMES OF ADDITIONAL CONFERENCE DELEGATES
Registration includes all sessions, meals and entertainment. Note that early bird registration rates will end at 3:00 p.m. on Friday, September 15, 2017
Please list all additional delegates inlcuded in this registration, noting their name and email addresses. If you are registering more than 5 additional delegates, please print another form.
TICKET TYPE
Name: _______________________________________________________________________
EARLY BIRD RATE
REGULAR RATE
Boating BC member
$199
$249
Boating BC member company group of 5 (all individuals must be employed by the same company)
$875
$1145
Additional group tickets (initial group of 5 must already be purchased)
$175
$229
Email: _______________________________________________________________________
Non-Boating BC Member
$299
$299
Name: ______________________________________________________________________
$99
$99
Email: _______________________________________________________________________
Student
# OF TICKETS
Email: _______________________________________________________________________ Name: _______________________________________________________________________ Email: _______________________________________________________________________ Name: _______________________________________________________________________
Name: ______________________________________________________________________ REGISTRATION SUBTOTAL
$
GUEST MEALS AND ENTERTAINMENT Delegates are encouraged to invite guests for the evening meal and entertainment on November 21 for $70 per guest. Please advise Boating BC of any dietary restrictions.
Guest name: _______________________________
# GUESTS
Guest name: _______________________________
__________ x $70
Guest name: _______________________________
GUEST SUBTOTAL
Guest name: _______________________________
$
_________________
HOTEL RESERVATIONS Reserve your hotel room at Pacific Gateway Hotel: 1-866-382-3474 and quote the Boating BC Conference bloc code: 1711BOAT to secure the conference rate of $139.
Email: _______________________________________________________________________
FEES SUMMARY AND PAYMENT INFORMATION Registration fees:
$
Guest meals:
$
Subtotal:
$
Total owing: $
[ ] VISA/Mastercard number: ____________________________________________ Expiry: ____________________
3-Digit Security: _________________
Cardholder name: _______________________________________________________ Cardholder signature:_____________________________________________________ [ ] Cheque made payable to Boating BC Association Please note that registration fees are non-refundable after November 16, 2017.
