2011 OFPA ANNUAL MEETING
Online registration

Wednesday, November 16, 2011 - Mississauga Convention Center

A - Registration Section

*Denotes Mandatory fields

*Name of Applicant:
*Title of Applicant:
*Company Name:
*Address:
*City:
*Postal Code:
*Email:

Registration Category	Early Bird Registration (Before Oct. 20)	Registration (After Oct. 20)	Number of Registrants
(Prices include 13% HST, GST #887091288RT)
OFPA Member	$188.34	$242.15	- 1 2 3 4 5
Recognized Affiliate Member	$188.34	$242.15	- 1 2 3 4 5
Non-Member	$252.91	$306.72	- 1 2 3 4 5
Retired OFPA Member	$94.16	$121.07	- 1 2 3 4 5
Student with Valid Student ID	$43.04	$69.95	- 1 2 3 4 5

A - Registration Total:

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B - Sponsorship Section

Tradeshow Table Reservation

	*Company Name:
	*Telephone Number:
		Electric outlet requested (first 6 paid registrations will receive power)

Contribution of door prizes

Sponsorship packages
		Diamond - $2000
		Platinum - $1000
		Gold - $500
		Silver - $250
		Website Sponsorship - $500

B - Sponsorship Total:

A - Total amount charged for Registration:
B - Total amount sponsored:
Total charge to your credit card:

Please only click this button once. Once you submit this form, you will be taken to a secure page to enter your credit card details safely.