| Select |
Registration Category |
Early Bird
Submitted on or before March 30, 2012 |
Regular
Submitted after 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: |
|