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Cogeco Evening of Excellence Awards Registration Form

CodeDescriptionUnit PriceQtyTotal

inti

Individual Ticket

$95.00

tb8

Table of 8

$760.00

$0.00

Subtotal$95.00

Tax$0.00

Pricing could not be calculated.

Total Due$95.00

Add company name, address, contact name, email and phone number.

Company Name *

Billing Address *

Billing Address Line 1 *

Billing Address Line 2Billing City *Province / State *Postal Code *Country *

Company Contact Name *Company Contact Email *

Phone Number

Add attendee details List below• 1 attendee, add attendee names and emails and confirmations will be emailed once payment is complete.

Attendee 1

Individual Ticket

Attendee Name *Attendee Company Name (Optional)Attendee Email *Attendee Phone Number

We are able to offer the following dietary option.

Let us know if you have a meal preference.

Gluten FreeVegetarianVegan

#	Ticket Type	Attendee Name *	Attendee Company Name	Attendee Email *	Attendee Phone Number
1	Individual Ticket
	We are able to offer the following dietary option. Let us know if you have a meal preference. We are able to offer the following dietary option.Gluten FreeVegetarianVegan

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