2015 Convention & CampEx November 15 - 18, 2015 CAESARS WINDSOR Please print or type Campground: ____________________________________________________ Phone: _________________________________________________________ REGISTRATIONS TR - Tour _____ x $30 = __________ S1 - Sunday CampEx + reception _____ x $50 = __________ Email: __________________________________________________________ (Required for all event info and confirmations. Please check here if you do not wish to receive exhibitor communications ) M1 - Monday (no dinner) Delegate #1 ______________________________________________________ S1 M1 M2 M3 TR T1 T2 T3 WE MO W1 W2 W3 M2 - Monday Dinner Only Delegate #2 ______________________________________________________ S1 M1 M2 M3 TR T1 T2 T3 WE MO W1 W2 W3 Delegate #3 ______________________________________________________ S1 M1 M2 M3 TR T1 T2 T3 WE MO W1 W2 W3 Delegate #4 ______________________________________________________ S1 M1 M2 M3 TR T1 T2 T3 WE MO W1 W2 W3 ________________________________________________________________________________________________ Please list here any and all special needs and dietary restrictions (not preferences) and name of person applicable to. Payment Method Cheque (payable to Ontario Private Campground Association – please include copy of order form) Credit Card (please call Lisa at 877-672-2226 with your payment information) Online or by phone through your credit union (Registered name: Ontario Private Campground Association. Contact Lisa at 877-672-2226 to obtain your account number.) _____x $125 = __________ _____x $100 = __________ M3 - Monday + Dinner _____x $200 = __________ T1 - Tuesday (no dinner) _____x $125 = __________ T2 - Tuesday Dinner Only _____x $100 = __________ T3 - Tuesday + Dinner _____x $200 = __________ WE - Wednesday Breakfast _____x $35 = _______ MO - Meals Only___x $380= _______ W1-Workshop 1 ___x $45 = _______ W2-Workshop 2 ___x $45 = _______ W3-Workshop 3 ___x $45 = _______ Subtotal = ___________ + HST 13% = ___________ TOTAL = ___________ Business #107800187 Please return by email to Sandra at [email protected] or fax to 877-905-2714. Please use this form as your invoice and record of payment. **All payments must be received prior to attendance. All cancellations prior to November 1st are subject to a $25 processing fee. Cancellations after November 1st are non-refundable. Please retain a copy of your registration for income tax purposes as the fee qualifies for the Education and Training tax claim. Camping In Ontario/OPCA 1915 Clements Rd, Unit 6 • Pickering, ON • L1W 3V1 • P: 877-672-2226 • F: 877-905-2714 [email protected] • www.campinginontario.ca
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