2023 AGM Exhibitor Registration

First Name *

Last Name *

Email (Primary) *

BPSO Name *

Are you presenting at ICN? *

Yes No

If yes, please provide the title of your presentation(s).

Please provide the name of the authors/presenters.

Is it an oral presentation?

Yes No

Display Format

If you have a discount code, enter it here

Event Fee(s) *

Corporate Sponsor 15000 + HST - $16,950.00

President's Banquet Sponsor 10000 + HST - $13,000.00

Student Leadership Lunch Sponsor $5000 + HST - $5,650.00

Prime Location Exhibitor $2500 + HST - $2,825.00

Corporate Exhibitor - $1200 + HST - $1,356.00

Not for Profit Exhibitor - $1000 + HST - $1,130.00

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

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