BCAIM - Revelation

Registration

YES, I want to attend the BCAIM Revelation 2009!

Location: Hyatt Vancouver

Time: January 29, 2009, 11:00am - 7:30pm

Pricing:
Early Bird (before Jan 9, 2009)
BCAIM member $225 + GST
Non-member $250 + GST

After Jan 9, 2009
BCAIM member $250 + GST
Non-member $275 + GST

PERSONAL INFORMATION

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First Name: *

Last Name: *

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City:

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Fax:

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ADDITIONAL ATTENDEES

First Name:

Last Name:

Title:

Company:

Street Address:

City:

Postal Code:

Phone:

Fax:

Email:

First Name:

Last Name:

Title:

Company:

Street Address:

City:

Postal Code:

Phone:

Fax:

Email:

PAYMENT AMOUNT

BCAIM MEMBER
$250.00 X

NON-MEMBER
$275.00 X

PAYMENT METHODS

CREDIT CARD OPTION:

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If we have your credit card on file, pleace select one of the following payment options:

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Attendance is strictly limited and is on a first-come, first served basis.
Register Today!

Pre-registration is required. No cancellations after January 20, 2009. No refunds for no-shows and cancellations received after this date. Ticket is transferable.