Thank you for your interest in the 2003 Canadian Power Conference and Trade Show. Please complete the details in the entry fields below, and hit the "Submit" button at the bottom to send your registration to our office.

Name of delegate (first, then last):
Title:
Company or organization:
Address:
City:
Province/ State :
Postal Code/ Zip Code:
Country (blank if Canada):
Telephone:
Fax:
E-mail:
Web site (if available):

Please reserve one registration for the above individual at the following rate (Please check only one):

Member rate (after October 15) $995 + GST

Non-Member rate (after October 15) $1,295 + GST

Special rate (please provide details in the large box below)

* * *

Payment instructions (Please check only one):

Please invoice me, as per the information above

We will send a cheque or other form of payment shortly

Please bill my credit card

If using a credit card, please complete the next four lines:

Type of Credit Card:
Card number:
Name on card (if different than delegate's name above):
Expiry date:

 
Please note that this is not a "secure" online payment system. There is a small chance that someone could intercept this transmission, obtain your credit card information, and use it without your authorization. If you would like more complete security, then please fax the above information to our office at 416-481-5785.

Thank you for your registration in the Canadian Power Conference and Trade Show. Please let us know if there is anything in particular we can do to assist you.