Pacific Contact 2010 - Registration Form

Delegate Registration Type - Non BCTC Members

Please complete this registration form in its entirety.


Organization & Contact information as it will appear on Conference Materials:
Organization Name:
Contact Name:
Mailing Address:
City:
Province/State:
Postal Code / Zip:
Country:
Phone:	( )
Fax:	( )
Email:
Website:



Membership - (November 2009 - October 2010)
	My organization / group will attend PC 2010 as a Non-Member
	For more information or to apply for a BCTC Membership for 2010.


Delegate Registration (Select One) - GST included in prices
	Organization Rate with a Delegate	Primary Delegate's Name
	$498.75

Additional Representative (Delegate)		Delegate's Name
	No additional delegate
	$189.00 for 1 additional delegate
	$378.00 for 2 additional delegates
	$567.00 for 3 additional delegates
	$756.00 for 4 additional delegates
(No discounts apply on Additional Representatives - Delegates)

Total - Registration Section (optional): $


Hospitality Events - please register Lunch (Shadbolt) - Friday: $20.00 each + GST Lunch - Saturday: $25.00 each + GST Dinner - Friday, Saturday: $40.00 each + GST Round Table Lunch - Sunday: Complimentary (please register) Closing Party - Sunday: $60.00 each + GST

Meals: Quick Check Out Package
	Click on the package on the right to register for all conference meals, all at once. Save time!	$0 - No meal package - Thank You $194.25 - One meal package $388.50 - Two meal packages $582.75 - Three meal packages $777.00 - Four meal packages $971.25 - Five meal packages
OR pick and choose the meals/events you desire below.

Meals: Friday, March 26, 2010 - Select
	$0 - No lunch - Thank You $21.00 - One lunch $42.00 - Two lunch tickets $63.00 - Three lunch tickets $84.00 - Four lunch tickets $105.00 - Five lunch tickets	$0 - No dinner - Thank You $42.00 - One dinner $84.00 - Two dinner tickets $126.00 - Three dinner tickets $168.00 - Four dinner tickets $210.00 - Five dinner tickets

Meals: Saturday March 27, 2010 - Select
	$0 - No lunch - Thank You $26.25 - One lunch $52.50 - Two lunch tickets $78.75 - Three lunch tickets $105.00 - Four lunch tickets $131.25 - Five lunch tickets	$0 - No dinner - Thank You $42.00 - One dinner $84.00 - Two dinner tickets $126.00 - Three dinner tickets $168.00 - Four dinner tickets $210.00 - Five dinner tickets

Events: Sunday March 28, 2010 - Select
	Complimentary Round Table Lunch	Closing Party
	$0 - No Lunch - Thank You $0 - One Lunch Ticket (comp) $0 - Two Lunch Ticket (comp) $0 - Three Lunch Ticket (comp) $0 - Four Lunch Ticket (comp) $0 - Five Lunch Ticket (comp)	$0 - No dinner - Thank You $63.00 - One party ticket $126.00 - Two party tickets $189.00 - Three party tickets $252.00 - Four party tickets $315.00 - Five party tickets
Vegetarian Meals Required? # of delegates requesting vegetarian meals

Total - Hospitality Events (optional): $


Total Owing (add all the amounts from above): $ (optional)

Payment Options
Mail in Payment: I wish to pay by cheque Submit this online form. We will email you an invoice shortly.

Credit Card Payment : I wish to pay online with Paypal. Submit this online form. Click on the PayPal logo on the next page to complete the payment process.

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For your own records please print a copy before submitting the form. We will contact you by email shortly.