REGISTRATION FORM

(There are no physical tickets provided. Registration is by name at the door. Please ensure you complete your guest names within)

denotes a required field.
First Name
Last Name
Position
Company
Address
City
Province
Postal Code
Phone

Fax

E-Mail
Website
   
Yes, the contact information above may be made available to carefully screened organizations whose products or services may be of interest to me.
   

Event Details

Thursday, May 1, 2014
Luncheon

Days Inn - Worthington Room
117 Elm Street
Sudbury, ON
11:30 am

Tickets: Ticket(s) @ $39.55 (includes HST) $
 
Total:
$
 
Participants
Name:    Email:
Name:    Email:
Name:    Email:
Name:    Email:
Name:    Email:
Name:    Email:
Name:    Email:
Name:    Email:
 
     

 
 VISA
Credit Card No.
Expiry Date /
Name on Card
 
 MasterCard
   

Only Click Once
For more information, please contact us at:

Northern Ontario Business
158 Elgin St., South
Sudbury, Ontario P3E 3N5

or

Kimberley Wahamaa, Operations Manager
Tel: (705) 673-5705 or 1-800-757-2766 Ext. 320
Fax: (705) 671-0878
Email: kimberley@nob.on.ca

Cancellation Policy: Refunds will be available only until April 24, 2014.
                                 Request must be made in writing and faxed to (705) 671-0878