Guest Registration Form

Vancouver Executives Association

Special Event Registration Form

Time and Location

11:45 am to 2:00 pm
Terminal City Club
837 West Hastings Street
Vancouver

Guests: $45 per person + GST | Members: No additional charge
Special Corporate Table of 8 people $315 + GST

Contact			Company
Name	*		Company
		Contact Person will also attend	Address
Title			City, Province	,
Email	*		Postal Code
Phone			Country
Fax

Additonal Guests
We will need all your guests' names. They will need to check in at the door.
Guest #1			Guest #2
Guest #3			Guest #4
Guest #5			Guest #6
Guest #7			Guest #8

Meals	Credit Card Payment
I require # of Vegetarian Meal(s).	Type of Card	Visa Mastercard
	Card Number
	Expiry Date
	Signature

Our Mailing Address

Our Contact Information

Please send your cheque to

Phone

604-684-0660

#400 - 601 West Broadway

Fax

604-205-5490

Vancouver, BC V5Z 4C2

Canada

Web

1.		I authorize the Vancouver Executives Association to charge my credit card as noted above. Please note registration will only be confirmed upon receipt of payment in full. NO cancellations after the Friday preceding the week of the event.
2.		I would like to receive information on any other special events in the future.
3.		Please charge all guest(s) to my Account.