Registration Form

Register By: December 4, 2011 using the attached form.
*Event will occur regardless of weather conditions*
Registration may be sent via fax: 416-208-9100 or email scan: info@eventindustrykids.com

to bottom | to top Personal Information for Industry Member * All contact information is required and marked with a red asterix *

First Name *	Last Name (Surname) *
Please enter your first name before proceeding.	Please enter your last name before proceeding.
Company Name *
Please enter your company name before proceeding.
Address
Phone Number *	Email Address *
Please enter your phone number before proceeding.	Please enter your email address before proceeding.

to bottom | to top I Am Registering:

Choose... 1 2 3 4 5	Adult(s) at $15.00 each (food only)
Choose... 1 2 3 4 5	Child(ren) Age 0-2 Years Old at $15.00 each (gift only)
Choose... 1 2 3 4 5	Child(ren) Age 3 and Up at $30.00 each (food and gift)

to bottom | to top Child Details

Name	Age	Gender
		Choose... Male Female
		Choose... Male Female
		Choose... Male Female
		Choose... Male Female
Allergies or Special Needs

to bottom | to top Payment Details

Choose a payment method:	Credit Card	Cheque
Very important note about payment: You'll notice that we do not accept direct payment over this website. A representative of the event will be calling you to comfirm the details of your registration and your payment information. Your registration is not complete until you have secured payment for the event. If you have not been contacted by December 4th, 2011 call Electic Events International at (416) 413-7887 and confirm that your registration has been received.

to bottom | to top Conditions of Registration

There is no cancellation permitted after December 4, 2011 and no refunds will be issued after this date. If you register for the event and do not attend, the gift(s) will not be held for you and will be donated to charity in your absence. No refunds will be issued for event no-shows. Industry Parents, Grandparents, God Parents, Aunts & Uncles may register children ages 0-12 years old to attend the event. (If you have an older child that wishes to attend, exceptions can be made.) Registration will close when capacity is reached OR on December 4, 2011. Registration is first come, first served. Registration is not complete until payment is received and processed. You will receive a registration confirmation by email.

The Annual Event & Meeting Industry Children's Christmas Party is proudly created and presented by Eclectic Events International Inc.