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Delegate registration form

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EFMA 2015 Conference and Trade Show Delegate Registration Form

First Name:________________________ Surname:_________________________________________________

Organization:________________________________________________________________________________

Address:____________________________________________________________Postal Code: ______________

Tel:_______________________ Fax:_________________________ Email:________________________________

Cheques, MasterCard or Visa are accepted via website: www.efmabc.com. Forward form with payment.

Educational Facility Managers Association of B.C. PO Box 19032, 1153 – 56th Street, Delta, B.C. V4L 2P8 Fax: 604-943-3541 Email: society@telus.net

Name on the card: ___________________________________________________________________

Credit Card #:__ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Expiry Date: ____ / ____ Code: ______

*** Please inform us of any dietary needs ***

Conference Fees

Members – Full Conference Package (includes banquet) Non-Members – Full Conference Package (includes banquet) Members – One-Day Pass (does not include banquet) Non-Members – One-Day Pass (does not include banquet) Professional Development A – Leadership Development (two days) Professional Development B – Safety Certificate Program Professional Development C – WorkSafeBC Partners Program (includes banquet) Additional Banquet Dinner (ticket only) Golf Tournament (handicap ____ ) $450 $600 $200 $300 $350 $200 $200 $100 $ 50 $ 55

Total $___________

Please indicate your selection of sessions and social events: Tuesday – June 2 Thursday – June 4

o President’s Reception o Buffet Breakfast o Exhibitors’ Hosted Luncheon Wednesday – June 3 o Concurrent Session 5 o Zone Meeting Breakfast o Concurrent Session 6 o Luncheon o Concurrent Session 7 o Exhibitors’ Hosted Evening o Concurrent Session 8 o Concurrent Session 1 o Concurrent Session 9 o Concurrent Session 2 o Concurrent Session 10 o Concurrent Session 3 o Concurrent Session 11 o Concurrent Session 4 o Reception, BBQ, Social

Friday – June 5

o Concurrent Session 12 o Concurrent Session 13 o Concurrent Session 14 o Concurrent Session 15 o Ministry Update

Cancellation Policy: Cancellation of registration must be received before May 15, 2015 for registration fees to be refunded. A processing fee of $50.00 will be charged on all refunds.

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