Delegate Registration for the 66th Atlantic Provinces Funeral Directors And Service Convention

Name:
Firm Name:
Other Attendees:
Address:
City, PC:
Phone/Fax:
E-mail:

(Please provide your e-mail and encourage others in your firm to provide their e-mail addresses as well as we are establishing a database for e-mail mailouts.)

Full Registration ($ 375.00 + $ 56.25 tax = $ 431.25) x =
Additional Delegate Full Registration ($ 325.00 + $ 48.75 tax = $ 373.75)
(This rate is for additional delegates from the same firm
when registering and paying for all delegates at once.)
x =
Student/Apprentice Full Registration
        ($ 200.00 + $ 30.00 tax = $ 230.00)
x =
Green Fee (18 holes & transportation)
        ($ 65.00 + $ 9.75 tax = $ 74.75)
x =


DAY ATTENDANCE OPTIONS
Friday, September 16, 2016 ($250.00 + $37.50 tax = $287.50) x =
Saturday, September 17, 2016 ($250.00 + $37.50 tax = $287.50) x =


ADDITIONAL REGISTRATION OPTIONS
Crematorium Operator Certification Course
Includes lunch and manuel (Not included in full registration)
                                         ($150.00 + $22.50 tax = $172.50) x =
Formal Banquet & Dance ($100.00 + $15.00 tax = $115.00) x =
TOTAL REMITTANCE

Registrations received AND paid by August 31, 2016, will be entered into a draw to receive their registration FREE!!!