Badge Data:
Complete as you wish your name to appear on the conference badge.

Member Type:
(please select one)

Last Name:

First:

Facility/Company/Affiliation:
Mailing Address:
City:
State/Province
Zip/Postal Code
E-Mail Address:
Phone:
Fax:

Spouse OR
Personal Companion

Last Name:
First Name: 
Note: Business associates do not qualify as companions. Please list only if registering

Check here if you have a disability and may require special accommodations to fully participate in the conference. An IAVM staff member will contact you to discuss your special needs.

Registration Fees & Optional Activities:
ALL RATES ARE IN U.S. DOLLARS

Select Registration Category

Early Bird
Submitted on or before
March 30, 2012

Regular
Submitted a
fter March 30, 2012
Member $245 $295
Non-Member $295 $325
Additional Employee at facility where someone has paid full registration (Non-Member) $245 $295
Student  $140

$140

Retired or Honorary
Member

Complimentary Complimentary
Spouse or Companion $140 $140
Golf  at Highlands Golf Club $90 $90
West Edmonton Mall Shopping Excursion $25 $25
 
TOTAL Registration  Fees USD

Golf Registration
Handicap:   OR Avg Score: 
Please pair me with:
1.
2.
3.
  Check here if you need a ride to the course
  Check here if you are able to provide a ride to the course
 
Please identify arrival date/time and departure date/time:

Below you will find a few of the highlights of Regions 4's action packed program. Stay tuned for many more details to come with more than a dozen breakout and general sessions to pique your interest.

Please list the number for attending the following activities: (SCHEDULE IS SUBJECT TO CHANGE) Enter 1 for Self, 2 for self and registered companion.

Friday, May 4

West Edmonton Mall Shopping Excursion includes bus transportation, and box lunch – Register Above
Golf at Highlands Golf Course includes: golf, cart, and box lunch – Register Above
Opening Reception – Night at the Races, Northlands Park

Saturday, May 5

Breakfast
Networking Lunch

Sunday, May 6

Breakfast
Lunch
Closing Reception - Alberta Art Gallery

Monday, May 7

Breakfast
Lunch
 Venue Tours (select those tours that would be of interest to you; tours to be confirmed)
EXPO Centre (conference/trade show)
Rexall Place (arena)
Northlands Park (racing & gaming)
The Francis Winspear Centre for Music (orchestra/symphony)
Northern Alberta Jubilee Auditorium (performing arts)
Shaw Conference Centre (convention)

Purchase Order

Credit Card        

American Express  
MasterCard  
Visa

Cardholder Name:
Card Number:
(enter only numbers - no dashes or spaces)
Exp:   
 


Refund Policy: If requested before April 2, 2012 full refund less $25 processing fee. Between April 3 and April 14, 2012, one half of fee returned. No refunds will be given after April 14, 2012. All requests must be in writing.
 

International Association of Venue Managers, Inc.
Attn: Brenda Pennington
635 Fritz Drive, Suite 100
Coppell, TX 75019-4442 USA
Phone: 972-538-1013
Fax: 972-906-7418
 

   
 

Copyright 2011 - International Association of Venue Managers
635 Fritz Dr. Suite 100 Coppell, TX 75019-4442 USA
Phone: 972/906-7441 Fax: 972/906-7418