Registration Form - Groupe Export agroalimentaire

Téléchargement

Ticket

Reservation

Tuesday May 2, 2017 – 5pm

Allstream Center - Connected to Enecare Centre

105 Princes' Boulevard – Toronto

TICKET RESERVATION

Please reserve _______ ticket(s) at $250 each + 32,50$ (13% TVH ONTARIO) = 282,50$ $

PARTICIPANT NAME AND ADDRESS (Please see Payment method on following page)

Name:

Company:

Address:

City: Prov.: Postal code:

Country:

Tel.: Email:

Notes:

You will be receiving your badge from our welcoming committee the evening of the Event

To speed registration, please provide the names of all participants (next page)

Please select your category below (only one choice)

Acheteurs / Buyers

Ingrédients & additifs / Food Ingredients

Aliments pour animaux / Pet Food

Mets préparés / Prepared meals

Aliments santé/Health Food

Produits de boulangerie / Bakery Products

Association

Produits de la mer / Seafood Products

Boissons / Beverages

Produits laitiers / Dairy Products

Condiments

Produits surgelés / Frozen Products

Produits sucrés / Sweet products

Professionnel / Professional

Conserves / Canned Products

Service financiers / Finances

Fruits et Légumes / Fruits and Vegetables

Soupes et sauces / Soups and sauces

Gouvernement / Government

Viandes / Meat

Grains et céréales / Grains and Cereals

Other:

Presented by:

PAYMENT METHOD

□ Credit card □ VISA □ MasterCard □ AMEX

Card #: Exp.:

Signature:

□ Cheque payable to Agri-Food Export Group (Members only)

IMPORTANT To reserve, complete this form and send it by email to Véronique Folny

E-mail: [email protected]a - Phone. 418-456-7854

Additional participant

Name: __________________________________________

E-mail:__________________________________________