AFSA 2025 Convention Registration Form

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Member Firm Name* This field is required.
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Main Contact Name* This field is required.
First Name
Last Name
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Main Contact Email* This field is required.
example@example.com
Confirm Email
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Main Contact Phone Number* This field is required.
Please enter a valid phone number.
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Attendee Information* This field is required.The quantity of registrations selected must match the number of attendees listed. Please add a row for each ticket desired. Enter TBD for attendees to be determined. Don't forget to enter the registration type for each attendee (you may have to slide over to access).
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Seating Arrangements for the Awards GalaOur event will feature tables that seat either 8 or 10 guests. If your team requires a full table, please let us know at your earliest convenience. We will reach out to you closer to the event to finalize your seating arrangements.
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Payment Type* This field is required.Please select one of the following payment types, if paying by cheque, an invoice will be emailed with the total amount due to the billing contact email specified in the next section. Please issue cheques to Alberta Funeral Service Association upon receipt and send to AFSA, 4447 99 Street NW, Edmonton, AB T6E 5B6. If paying by credit card, please complete the payment information in the next steps and a receipt will be sent to the primary contact upon completion of the transaction.
Credit Card
Cheque
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Billing Contact Email* This field is required.Please specify an additional email for a copy of the receipt or invoice to be sent if different from above Main Contact email.
example@example.com
Confirm Email
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RegistrationPlease select the total number of tickets using the dropdown (if paying by Credit Card only).
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My Bag
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$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
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$20
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$20
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ORDER SUMMARY
CAD
SubtotalCAD
Total costCAD
Full RegistrationIncludes Banquet ticket and all meals
$450.00CADEdit
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Thursday Seminars including lunch & Supplier Night
$200.00CADEdit
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10
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Friday Seminars including breakfast and lunch
$200.00CADEdit
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10
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Banquet Tickets (included in Full registration) Included in Full Registration
$125.00CADEdit
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Quantity
Non-Member RateIncludes all meals, including Banquet
$550.00CADEdit
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Total cost $0.00CAD
Credit Card
First Name
Last Name
Credit Card Number
Security Code
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Expiration Month
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Expiration Year
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Invoice ID
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Please verify that you are human* This field is required.
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Is payment received?
YESNO
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