Ontario East Municipal Conference - OEMC

OEMC Conference Registration Form

Registration types limited to those shown below. ~ Shared and individual session registrations are NOT allowed.
Tours require pre-registration and include lunch ~ Use this form to register on-line.

Required fields in RED.

Step 1: Organization Information (Delegate information entered below)

Organization: Limited to 32 characters
If a Municipality do not include Township of, Town of, City of ...

Type: County:

Your Name: Email: Phone:

Step 2: Delegate Information
Please select the registration of your choice. We recommend registering for tours in advance as seating is limited.

Registration	All prices are plus HST Includes	Paid After August 15th	On-Site Registration
Full	All business sessions, refreshment breaks, two breakfasts, two lunches, evening reception (food & beverage) & dinner (Taste of the Town).	$445	$475
Wednesday Only	Wednesday business sessions, refreshment breaks, lunch & evening reception (food & beverage).	$289	$319
Thursday Only	Thursday business sessions, refreshment breaks, breakfast & lunch. (Excludes dinner - Taste of the Town).	$329	$359
Friday Only	Friday business sessions, breakfast and refreshment break.	$169	$199
Mobile Workshops /Tours	Wednesday TourMetalCraft Marine and Lafarge Cement Plant Innovation and Excellence Tour	$30	$30
Mobile Workshops /Tours	Thursday TourExplore the Arch SOLD OUT	$30	$30
Companion Package 1	All Meals + Tour + Taste of the Town Note: Companion Packages do not include business sessions.	$99	$99
Companion Package 2	All Meals +Taste of the Town Note: Companion Packages do not include business	$84	$84

Delegate 1

First Name:

Last Name:

Title:

Limited to 32 characters

Phone / Email:

Do you have food allergies? No Yes (please indicate)

Full Registration
Full Registration - $445

Partial Registration
Wednesday Only - $289
Thursday Only - $329
Friday Only - $169

Companion Package:
All Meals+Tour+Taste of the Town - $99
All Meals+Taste of the Town - $84
Note: Companion Packages do not include business sessions.

Companion Name:

First Name
Last Name

Do you have food allergies? No Yes
(please indicate)

Optional Tours - Select your Choice:
Wednesday
Tour 1 - MetalCraft Marine and Lafarge Cement Plant Innovation and Excellence Tour - $30
or
Thursday
Tour 2 - Explore the Arch - $30 SOLD OUT

Delegate 2

First Name:

Last Name:

Title:

Limited to 32 characters

Phone / Email:

Do you have food allergies? No Yes (please indicate)

Full Registration
Full Registration - $445

Partial Registration
Wednesday Only - $289
Thursday Only - $329
Friday Only - $169

Companion Package:
All Meals+Tour+Taste of the Town - $99
All Meals+Taste of the Town - $84
Note: Companion Packages do not include business sessions.

Companion Name:

First Name
Last Name

Do you have food allergies? No Yes
(please indicate)

Delegate 3

First Name:

Last Name:

Title:

Limited to 32 characters

Phone / Email:

Do you have food allergies? No Yes (please indicate)

Full Registration
Full Registration - $445

Partial Registration
Wednesday Only - $289
Thursday Only - $329
Friday Only - $169

Companion Package:
All Meals+Tour+Taste of the Town - $99
All Meals+Taste of the Town - $84
Note: Companion Packages do not include business sessions.

Companion Name:

First Name
Last Name

Do you have food allergies? No Yes
(please indicate)

Delegate 4

First Name:

Last Name:

Title:

Limited to 32 characters

Phone / Email:

Do you have food allergies? No Yes (please indicate)

Full Registration
Full Registration - $445

Partial Registration
Wednesday Only - $289
Thursday Only - $329
Friday Only - $169

Companion Package:
All Meals+Tour+Taste of the Town - $99
All Meals+Taste of the Town - $84
Note: Companion Packages do not include business sessions.

Companion Name:

First Name
Last Name

Do you have food allergies? No Yes
(please indicate)

Registration Information
Please check for registration accuracy.

Early Bird discount deadline is August 15th. Each registration increases by $30 if paid after August 15^th.
On-site registrations are increased by a further $30.00.
Cancellation Policy: $50.00 administration fee will be charged.
No refunds after August 15^th. Substitutions are allowed.
No shared registrations or single business session registrations are allowed.
For persons not registered for OEMC individual tickets can be purchased for the Wednesday evening reception only at a cost of $40.00. Ticket price includes dinner and beverage.

* All prices are plus applicable taxes and in Canadian dollars.

Step 3: Payment Details
Please select a payment method to avoid registration delays.

Payment Method:
VISA
MasterCard
Cheque

If paying by cheque, make cheque payable to:
OEMC
1500 Blakey Point Road
Box 97, R.R.#1
Prescott, Ontario, K0E 1T0
All prices are Canadian Funds

By clicking Submit Registration I acknowledge that I have read
and accept the terms set out below.

Comments
Please provide any comments.

We understand and agree that the information provided will be used for registration purposes, to record in our records name(s), address, telephone, fax numbers and email address. This will be used for billing and conference notification. All credit card/financial information will remain confidential.

We understand and agree that the information provided will be used for registration purposes and that I have the approval to supply this information on behalf of the names appearing on this form. The information can be provided to firms participating in OEMC limited for the purpose of inviting persons to events to be held in conjunction with OEMC. All credit card/financial information will remain confidential.

This information can be provided to firms participating in OEMC limited for the purpose of inviting persons to events to be held in conjunction with OEMC.

By submitting the above information for the person(s) named on this form I/we acknowledge that we have the approval and consent of each individual to supply this information on behalf of the names appearing on this form.

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