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March 2–4, 2016
VANCOUVER EAST CONVENTION CENTRE | VANCOUVER, BC CANADA
CONFERENCE REGISTRATION FORM
Registration
SAVE $500
DR. MR. MRS. MS.
FIRST NAME
Register by Nov. 30, 2015
LAST NAME
General Conditions
TITLE
It is agreed that the GLOBE Series, its
employees, officers, volunteers, contracted
staff, contracted companies and agents shall
not be held liable or responsible for any loss,
injury, or damages, however caused, to any
person or the property of any person engaged
by, participating in or attending GLOBE 2016,
unless due solely to the gross negligence or
willful misconduct of GLOBE Series, its
employees, volunteers, contracted staff, in
program dates, content, speakers, or location
or cancellation of any programs or functions. It
is agreed that the GLOBE Series, its employees
agents and officers, reserve the right to refuse
admission, cancel or reschedule programs,
change speakers, locations or revise content.
COMPANY
ADDRESS
CITY
PROV/STATE
POSTAL/ZIP CODE
PHONE
EMAIL
COUNTRY
FAX
TWITTER HANDLE *Optional
Fees
CONFERENCE DELEGATE PASS
CAN $
Before Nov. 30, 2015
$ 995
Dec. 1, 2015 – Jan. 31, 2016
$ 1,495
Feb. 1, 2016 – Mar. 3, 2016
$ 1,795
GROUP RATE (3 or more conference delegates*)
Save 20% on the going rate
$ 795
Before Nov. 30, 2015
Dec. 1, 2015 – Jan. 31, 2016
$ 1,195
Feb. 1, 2016 – Mar. 3, 2016
$ 1,435
NGO / Academic / Municipal Government
$ 795
Student Conference
$ 495
One Day Conference
$ 795
* Group registrants must be submitted at the same time.
**GST is applicable to all registrants. (GST #82072 1587 RT0001)
SUBTOTAL
$
Add GST at 5%**
$
TOTAL REGISTRATION FEE
$
CARD NUMBER
VISA MASTERCARD
CARDHOLDER’S BILLING ADDRESS
PROV / STATE
AMEX
NAME OF CARDHOLDER
3 DIGIT SECURITY ID NUMBER (located on the back of credit card)
Future Communications
Completion of this form constitutes acceptance of the registrant to receive future information on the GLOBE Series of events.
Substitutions are accepted at any time.
Registration fees will be refunded, less a $95.00
administration charge, if a refund request is
received in writing at the address given below
before Feb. 1, 2016. No refunds for registration
fees will be issued for requests received after
Feb. 1, 2016.
I have read, understood and agreed to the
general conditions & policies outlined above.
EXP DATE (MM/YY)
CITY
COUNTRY
GLOBE 2016 is a conference and exposition for
accredited business professionals. Children
under the age of 16 are not permitted to attend
the conference; however, children are permitted
to attend the trade fair when accompanied by
an adult who is a GLOBE 2016 registrant
(maximum two (2) children per adult). Student
groups wishing to attend should contact show
management no fewer than fourteen (14) days
prior to the event to arrange for access at an
appointed time.
Substitution/Cancelation Policy
Method of Payment
CHEQUE, BANK DRAFT, MONEY ORDER, WIRE TRANSFER
(CANADA/USA ONLY) PAYABLE TO: GLOBE Series
Children On-Site Policy
SIGNATURE
POSTAL / ZIP CODE
DATE
SIGNATURE OF CARDHOLDER Note: Credit card charges will appear as GLOBE Series on your statement.
SUBMIT THIS FORM
QUESTIONS?
SCAN & EMAIL: [email protected]
TEL:
BY FAX: +1 604.695.5019
BY MAIL: GLOBE 2 016
578–999 Canada Place
Vancouver, BC Canada V6C 3E1
+1 604.695.5001
1.800.274.6097
(Toll Free)
EMAIL: [email protected]
WEB: www.globeseries.com
For Office Use Only
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GROUP