CWPCA 57th AGM 2024

June 7-8, 2024

Registration form

Company name:

Name of delegate(s):
1.2.
3.4.
Address:

City:

Province:

Postal code:

Tel:

Email:

Registration fees

Attendance

Member 550$
Additional employee from same member company $485
Non-member $600
Spouse/Guest (Receptions only) $350

Sponsorship

Branch $500
Trunk $1,000
Tree $2,500

More information

Your meal preferences

Braised Beef Short Ribs, Chicken Supreme or BC Lingcod

Please select your meal preference for Friday evening, June 7th:

Delegate 1:  

Beef  Chicken  Fish  Vegetarian

Delegate 2:  

Beef  Chicken  Fish  Vegetarian

Delegate 3:  

Beef  Chicken  Fish  Vegetarian

Delegate 4:  

Beef  Chicken  Fish  Vegetarian

Do you have any food restrictions?  Vegan Gluten Free Dairy Free

Please indicate which delegate the food restrictions apply:

Other dietary restrictions:

5% tax will apply to all prices listed

Method of payment

Credit Card
Cheques payable to CWPCA
Electronic Transfer


Subtotal:0.00$
Tax:0.00$
Total:0.00$
Name on card:

Credit card number:

Expiration:
 
3 digit CVV number (on back):


Send

PO Box 280 ,Carleton Place, ON, K7C 3P4
T. 613.521.6468 or 1.877.224.3555 F. 866.375.1835
info@canadianpallets.com
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