Register by March 31st &
June 11th - 14th , 2017 , Huntsville , Ontario
Registration Form ( Online registration is available at www . amcto . com )
FIRST NAME / INITIAL __________________________________________________________ LAST NAME __________________________________________________________________________ ORGANIZATION ______________________________________________________________ TITLE _______________________________________________________________________________ ADDRESS ___________________________________________________________________ ____________________________________________________________________________________ CITY ____________________________________________________________________________________ PROV ___________ POSTAL CODE ____________________________________________ PHONE (_______) ______________________ FAX (_______) _________________________ EMAIL ______________________________________________________________________________ AMCTO ID # __________________________ IS THIS YOUR FIRST AMCTO CONFERENCE ? o YES o NO
IF YOU ARE REGISTERING A COMPANION FOR MEAL OR TOUR PACKAGE PLEASE PROVIDE : COMPANION FIRST NAME _____________________________________________________ COMPANION LAST NAME ______________________________________________________________
Conference Fees o Full Conference Package A . *( Incl Gala & Beach BBQ ) Member : $ 862.19 / Non-Member : $ 1065.59 $___________
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o Full Conference Package B . *( with Gala Dinner )
Member : $ 824.90 / Non-Member : $ 1028.30
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$___________ |
o Full Conference Package C . *( no Gala Dinner or Beach BBQ ) Member : $ 740.15 / Non-Member : $ 920.95 |
$___________ |
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o Retired Member ’ s Meal Package *
$ 293.80
|
$___________ |
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o Companion ’ s Tour Program *
$ 395.50
|
$___________ |
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o Companion ’ s Meal Package *
$ 293.80
|
$___________ |
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o One Day – Monday , June 12
Member : $ 350.30 / Non-Member : $ 435.05
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$___________ |
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o One Day – Tuesday , June 13
Member : $ 350.30 / Non-Member : $ 435.05
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$___________ |
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o One Day – Wednesday , June 14
Member : $ 350.30 / Non-Member : $ 435.05
|
$___________ |
Optional Events : Sunday , June 11
AMCTO Golf Tournament o 18-Holes Golf _____ x $ 130.00 = $___________ o Build a Boat Team Building Adventure _____ x $ 100.00 = $___________
Monday , June 12 o Beach BBQ ( incl . in Conference Package A and Companions / Retired member packages ) _____ x $ 45 = $___________
* Please indicate attendance at the various social events listed below . Opening Reception , Gala Dinner & Reception , and Falls Boat Cruise are included in Full Conference Package A , Retired and Companion Meal Packages . Full Package B includes the Gala but NOT the Beach BBQ . Full Package C and One Day Packages will need to purchase Extra Tickets to attend these event .
Register by March 31st &
You Could Win a Free Registration
Payment Options :
1 . Register online if making payment by VISA or MASTERCARD at www . amcto . com
2 . Please complete the form and send cheque payment by mail to : AMCTO 610-2680 Skymark Ave Mississauga ON L4W 5L6
Please list any food allergies :
Delegate Attending Companion Attending Purchasing Extra Tickets
Sunday , June 11
Opening Reception o o o ___________ @ $ 55.00
Monday , June 12
Breakfast o o o ___________ @ $ 35.00 Buffet Lunch o o o ___________ @ $ 55.00 Beach BBQ o o o ___________ @ $ 45.00
Tuesday , June 13
Breakfast o o o ___________ @ $ 35.00 Buffet Lunch o o o ___________ @ $ 55.00 Gala Dinner & Reception o o o __________ @ $ 100.00
Wednesday , June 14
Breakfast o o o ___________ @ $ 35.00 Closing Lunch o o o ___________ @ $ 40.00
Refund Policy : All cancellations must be confirmed in writing . A refund levy of $ 113 ( includes HST ) will be applied to every cancellation received up to and including May 6 , 2017 . No refunds will be made for cancellations received after May 6 , 2017 . Substitutions are permitted .
Personal Information Protection Policy : This information is collected under the Personal Information Protection and Electronic Documents Act for the purposes of processing your registrations and material delivery . This information is not shared , sold or distributed and is maintained in a confidential and secure manner .
Sub Total : Grand Total :
( All prices Include HST R # 106732936 )
$ __________________ $ __________________
2680 Skymark Ave ., Suite 610 , Mississauga , Ontario L4W 5L6 Tel : ( 905 ) 602-4294 Fax : ( 905 ) 602-4295 Email : amcto @ amcto . com Web : www . amcto . com
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