2012 LIBOA Registration by P97o75wv

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									                                                                                                              LIBOA
                                                                                  License Inspectors & Bylaw Officers Association


                                                                Conference and Annual General Meeting

                                                                                                                 June 12th-15th, 2012



          Proudly hosted by Precise ParkLink Inc.
                                                                                                                                                                th
 REGISTRATION FORM                                    FAX TO: 604.295.9107                             EARLY BIRD DEADLINE: APRIL 15 ,
 2012
          Please Print Clearly
          .
Name: Surname, Given Name                        Please Circle: Mr. Ms. Mrs.        CONFERENCE RATES:

                                                                                    Registration Fees
Municipality:                                                                                                            th
                                                                                            o   Prior to April 15 , 2012 ...........................$350
                                                                                                            st                st
                                                                                            o   April 15 - May 31 , 201 ..........................$375
                                                                                            o   Wednesday only (prior to Apr 15)............. $175
Work Address; Street:
                                                                                            o   Wednesday only (after Apr 15)..................$200
                                                                                            o   Thursday only (prior to Apr 15)..................$215
City, Province, Postal Code                                                                 o   Thursday only (after Apr 15)......................$240
                                                                                            o   Companion Meals (Banquet Incl.)..............$140
                                                                                            o   Companion Meal- Banquet Only ................$50
Contact Numbers                                                                             o   Companion Wine Tour/Tasting ...................$50
                                                                                            o   Companion Golf .......................................$50
(W)                              (H)                      (C)
Email Address:                                                                      Please select one Activity for Wednesday June
                                                                                       th
                                                                                    13 (Dinner included, first come first serve basis)
                                                                                            o   Wine Tour/Tasting .....................................$20
Companion Name: Surname, Given Name                                                         o   9 Hole Golf ..............................................$20

                                                                                    METHOD OF PAYMENT
Please indicate if you have enclosed your LIBOA Membership Fees with your
Conference fees or if you have mailed them to the Register separately                       o   Cheque enclosed payable to:
                                                                                                LIBOA Conference 2012
      o       I have enclosed my membership fees in this package
      o       I have mailed my membership fee directly to the register
                                                                                                Attention Nickie Dukhia
                                                                                                6753 Graybar Road Unit 170,
 CONFERENCE CANCELATION POLICY: No refunds will be issued after                                 Richmond, BC V7L 2N4
              st
 May 31 , 2012. Accommodation must be booked separately as they are not
 included in conference fees. By registering fir this conference you give LIBOA
                                                                                    Please indicate any special dietary requirements or
  permission to print your name and contact information on the attendee list.
                                                                                    food allergies here.

ADDITIONAL INFORMATION
Registration- Registration will not be completed until payment is made.

Hospitality- Located at the top level of Hotel. Further information will be available closer to the date.

Sessions- All sessions are located in the basement level of the Sandman Kelowna Hotel.

Questions-If you have any questions or need further information, please contact Nickie Dukhia, Precise ParkLink Inc. by email:
ndukhia@precisebi.com

								
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