Delegate Registration for the 68th 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 $ 419.00 x =
(Full Registration includes meals, seminars, lobster dinner, banquet, hypnotist;
it does not include accommodations, alcoholic beverages, golf or winery tour)
Additional Delegate Full Registration (from same firm) $ 389.00 x =
Spouse/Student/Apprentice Full Registration $ 319.00 x =
Please note that golf is NOT included in any full registration listed above.
Golf Tournament (18 holes, cart & transportation) $   99.00 x =
Magic Winery Bus Tour $   79.00 x =

DAY ATTENDANCE REGISTRATION
(Single day attendance registration includes hot breakfast, seminars and lunch.)
Friday, September 20, 2019 $ 319.00 x =
Saturday, September 21, 2019 $ 319.00 x =
Sunday, September 22, 2019 $ 209.00 x =

"WELCOME TO THE VALLEY!!!"
Show your funeral home's support of the APFD&SC
and join your friends on a welcome page in the Convention Program
that features your funeral home's logo.		 $   59.00 x =


Sub-Total: $
Tax @ 15%: $
Total: $