Luncheon Registration

AFPC - CALGARY

LUNCHEON REGISTRATION FORM - MAY 30TH, 2012
COMPANY NAME
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail
First Registrant Name

First NameLast Name
Second Registrant Name

First NameLast Name
Third Registrant Name

First NameLast Name
Fourth Registrant Name

First NameLast Name
Total amt for all members X $45 =
Total amt for non members x $60
Grand total all registrants
Payment is required in advance of the luncheon to secure your registration. AFPC-Calgary's policy is to charge for "no-shows" that have not cancelled (and not paid for) their reservation. Refunds cannot be given on cancellations received less than 72 hours prior to this function. Please consider this form to be your invoice as we do not issue invoices or receipts at the door.
VISA or MASTERCARD ACC#
Expiry date:
Register by e-mail by clicking "submit form" below, you will receive a reply email, bring a copy of the reply email to the luncheon as confirmation of your registration.
Should be Empty:

AFPC - CALGARY