SUPPLIER'S NIGHT REGISTRATION - 

Tuesday, April 27, 2010

This Year - An Exciting New Venue!!!

Delta Burnaby Hotel and Conference Centre 
4331 Dominion Street, Burnaby BC
Canada V5G 1C7

COMPANY NAME   :  
CONTACT NAME   :
EMAIL ADDRESS     
STREET ADDRESS  
CITY                           
PROV/STATE            
Postal Code               
PHONE                                 
FAX                                     
Suppliers Night Representative #1   
Suppliers Night Representative #2   
Suppliers Night Representative #3   

Business Category: 

Postcards:      at $0.15 each (if you do not wish postcards enter zero)

Electrical Required   Yes       No 

TERMS and CONDITIONS

I have read and agree to the terms and conditions of registration (read here) and will submit payment in timely fashion.

Type 'I Agree' (with space, capitals and no quotes) to accept conditions and register for Supplier's Night