IMTA Vancouver Conference Application Form - Non-Member

If you are an IMTA member, please login to your account to get discounted rates.

* indicates required fields

Registration Information

Company Name: *

Address: *

City: *

State/Province: *

Zip/Postal Code: *

Country: *

Phone Number: *

Fax Number:

Email:*

Website URL:

Attendee Information

Attendee Name:*

$465.00 USD

Spouse Name:

$175.00 USD

Each additional attendees from the same company is $465.00 USD. Select the number of additional attendees, if you need more then 5 additional attendees please contact IMTA.

Additional Attendees:

Total for 0 additional attendees is $0.00 USD.

Credit Card Information

First Name:*

Last Name:*

Address:*

City:

State/Province:

Zip/Postal Code:

Card Type:*

Card Number:*

Expiration Date:*

Confirm Conference Registration

Notes:
** Early Bird Specials are valid through May 15, 2008.

Registration Fees
Conference registration fee includes: conference badge, trade show access, receptions, annual dinner and educational seminars.

Conference Cancellation Policy
Cancellations must be received in writing prior to July 15, 2008 to receive a refund. Those received after July 15, 2008 will forfeit total registration fee(s).