Display Registration – SILVER

Fields marked with an * are required

Company Name *

Contact Name *

Phone *

Email *

Select which day(s) you want to display on: *

Please check appropriate boxes as applicable:

I will set up on Feb 3 evening
I will set up on Feb 4 morning
I will set up on Feb 4 evening
No booth/table required. Will be attending but networking with others.
Sponsoring for support only. Will not be attending.

I would like to pay by: *

E-Transfer
Cheque
Credit Card

Notes