“Where the Canadian Gaming Industry Meets”
2017 THEME:
Rapid Pace
of Change
This is your Complimentary Invitation to attend
the Canadian Gaming Summit Exhibition Floor.
Tuesday, June 20 2017 8:00 a.m. – 7:00 p.m.
Wednesday, June 21 2017 8:00 a.m. – 6:00 p.m.
Vancouver Convention Centre
To register for your complimentary Exhibition pass please visit www.canadiangamingsummit.com and click ‘Register Today’
Attendance to the Exhibition only is complimentary. If you would like to attend any conference sessions, the awards gala
or golf you must register separately for those events at www.canadiangamingsummit.com.
If you are unable to register online, mail or fax this registration form today!
Please complete section 1 and 2 below by June 1, 2017 to receive your FREE badge available for pick up at the registration counter. After June 1st, bring this form with you to registration for free admission.
FAX: (416) 512-8344 MAIL: Canadian Gaming Summit, 5255 Yonge Street, Suite 1000, Toronto, ON M2N 6P4
1. CONTACT INFO
FIRST NAME
2. PLEASE CHECK THE MOST APPROPRIATE DESCRIPTION OF YOUR ORGANIZATION
What is the primary business of
your organization?
SURNAME
E-MAIL
TITLE
COMPANY NAME
FULL MAILING ADDRESS
CITY / TOWN
BUSINESS TELEPHONE NUMBER
PROVINCE
FACSIMILE
FOR ADDITIONAL REGISTRATIONS, PLEASE PHOTOCOPY THIS FORM
POSTAL CODE
£ A Casino
£ B Charitable Gaming/Bingo
£ C First Nations Gaming
£ D Horse Racing
£ E Industry Professionals (i.e. Legal,
Finance, Consulting, Research)
£ F Industry Suppliers
£ G Media
£ H Other Government/Industry
£ I Provincial Gaming & Liquor
Commission
£ J Provincial Lottery Corporation
£ K OTHER (complete below)
What is your primary job function?
£ 01
£ 02
£ 03
£ 04
£ 05
£ 06
£ 07
£ 08
£ 09
£ 10
£ 11
£ 12
£ 13
Administrative
Analyst
Bingo Hall Manager
Board of Director
Engineer
Food & Beverage
General Manager
Human Resources
Information Technology
Licensing/Compliance
Marketing
Operations
Partner
OTHER _______________________________________
£ 14
£ 15
£ 16
£ 17
£ 18
£ 19
£ 20
£ 21
£ 22
£ 23
£ 24
Principal/Owner
Procurement
Product Management
Regulatory
Sales
Security/Surveillance
Senior/Executive Management
Slot Manager
Table Games
Tribal Council Member
OTHER (complete below)
OTHER _______________________________________
COMPLIMENTARY ADMISSION IS RESTRICTED TO GAMING DELEGATES 18 YEARS OF AGE OR OVER WHO ARE NOT
INDUSTRY SUPPLIERS. NON-EXHIBITING/SPONSORING INDUSTRY SUPPLIERS MUST REGISTER AS SUPPLIER DELEGATES
AND PAY A FEE TO ATTEND. SHOW MANAGEMENT RESERVES THE RIGHT TO REFUSE ADMISSION TO ANY INDIVIDUAL.