Registration Form - Groupe Export agroalimentaire

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. [phone]
Additional participant
Name: __________________________________________
E-mail:__________________________________________
Company : ______________________________________
Category : _______________________________________
Additional participant
Name: __________________________________________
E-mail:__________________________________________
Company : ______________________________________
Category : _______________________________________
Additional participant
Name: __________________________________________
E-mail:__________________________________________
Company : ______________________________________
Category : _______________________________________
Additional participant
Name: __________________________________________
E-mail:__________________________________________
Company : ______________________________________
Category : ______________________________________
Additional participant
Name: __________________________________________
E-mail:__________________________________________
Company : ______________________________________
Category : _______________________________________
Additional participant
Name: __________________________________________
E-mail:__________________________________________
Company : ______________________________________
Category : _______________________________________
Name: __________________________________________
E-mail:__________________________________________
Company : ______________________________________
Category : _______________________________________
During :