Registration form

This event is sold out. Watch for upcoming activities!

Name of event: Capitalize on your success – 75th anniversary of the Quebec City Regional Group
Date : Thursday, September 30, 2010
Time: 1:00 p.m.
Place: Fairmont Le Château Frontenac, 1 des Carrières Street, Quebec City


IDENTIFICATION
Membership No. :
Last name :
First name:
Organization:
Address:
Suite/Apt.:
City:
Province:
Country:
Postal code:
Telephone:
E-mail:

Registration

Registration fee: $155.04 (plus taxes) ($175)
Table of 8: $1,240.32 (plus taxes) ($1,400)

Please indicate in the following table:

  • the composition of your table for the banquet (eight people per table).

For each guest, please indicate:

  • whether this person is a member of the Ordre;
  • whether your payment includes the registration fee for this person;
  • special instructions or food allergies in the “Comments” section following the table.

We will assign a table to groups of less than eight people.

If you would like to purchase more than two tables, please call Nancy Alexandre at 514 982.4620 or toll-free at 1 800 363.4688, ext. 4620, or email her at n.alexandre@ocaq.qc.ca.

A Signature partnership is available for $2,000, which includes the purchase of a complete table of eight and substantial visibility for the organization. For more information, please contact Daniel Hébert, CA, at 418 658.5555.

Last and first names Ordre member Payment included for this person
1 Yes      No Yes      No
2 Yes      No Yes      No
3 Yes      No Yes      No
4 Yes      No Yes      No
5 Yes      No Yes      No
6 Yes      No Yes      No
7 Yes      No Yes      No
8 Yes      No Yes      No

Comments, food allergies or special instructions (specify for each guest):

Payment

Please indicate the number of tickets included in this order.

Type de billet Price Number
Regular ticket (before taxes) 155,04 $

Method of payment
I will send a cheque

This event is sold out. Watch for upcoming activities!