Delegate Online Registration Form
4th Annual Doing Well by Doing Good Conference ~ Growing Your Financial Advisory Practice Through Philanthropy
A One Day Educational Conference
Thursday, October 27, 2011 ~ University Golf Club
Vancouver, British Columbia
Conference Fee
:
$199.00 per Delegate + HST =
$224.87
or
$149.00 per Delegate + HST =
$168.37
with the Canadian Cancer Society Sponsor discount or the Canadian Association of Gift Planners Sponsor discount
To take advantage of the Sponsor discount, simply check one of the boxes below and register at the lower rate:
The Canadian Cancer Society #CCS1101
The Canadian Association of Gift Planners #CAGP1102
Two or more advisors registering from the same branch receive a 10% discount on the above rates.
Asterisked fields are mandatory.
Delegate Name:*
Title:
Delegate Name:
Title:
Delegate Name:
Title:
Company Name:*
Address:*
City:*
Province:*
Postal Code:*
Telephone Number:*
(
)
-
x
Email Address:*
Note: Delegate confirmations will be sent by eMail.
Credit Card Information
Mind
path
treats your Credit Card number and any other information that you provide in the strictest confidence. We do not sell, re-produce or otherwise re-distribute the information it receives from delegates. In addition,
Mind
path
does not retain Credit Card information on file once processed.
* All fields are mandatory.
Name
as it appears on the Card:
*
Card Type:*
Please select ...
Visa
MasterCard
AmEx
Card No.:*
Expiry Date:*
(MM/YYYY)
Amount:*
Plus HST =
Note:
~ Continental Breakfast opens at 7:30 AM
~ Conference commences at 8:30 AM
~ Business Card Draw & Networking Cocktail Reception follow conference sessions at 5:00 PM