Please enable JavaScript in your browser to complete this form.Name (as it will appear on your name badge) *FirstLastCompanyComplete Mailing AddressPlease specify *HomeWorkComplete Mailing Address *Email *EmailConfirm EmailPhone *Emergency Contact Name *FirstLastEmergency Contact Telephone *List any food allergies or dietary restrictionsList any mobility issuesRegistrationRegistration Fees *Full Registration – $295.00Student Registration – $100.00Banquet Only (February 19) – $70.00Payment Method *Visa or MastercardChequeE-TransferVisa or MasterCard Instructions Note: 2% Credit Card Fee Please Call with Credit Card number, Toll Free: 1-877-679-7177 Registration Cancellation Policy – Registration fees, less a $50.00 administration fee and any applicable bank charges will be refunded for written cancellations received by January 17, 2025. No refunds will be issued after January 18, however, the registration may be transferred to a colleague who is NOT currently registered with written notification. Registration fees cannot be applied to future meetings. Refunds will be processed when received. Sub TotalPlus 15% HSTAdd 2% Credit Card Processing Fee (if applicable)TotalCheque Instructions Make cheque payable to: Darwin Event Group and mail to: Darwin Event Group 100 South Street, Unit 16 Berwick, NS B0P 1E0 Registration Cancellation Policy – Registration fees, less a $50.00 administration fee and any applicable bank charges will be refunded for written cancellations received by January 17, 2025. No refunds will be issued after January 18, however, the registration may be transferred to a colleague who is NOT currently registered with written notification. Registration fees cannot be applied to future meetings. Refunds will be processed when received. E-Transfer Instructions Please include your Business Name and email to info@darwineventgroup.com Registration Cancellation Policy – Registration fees, less a $50.00 administration fee and any applicable bank charges will be refunded for written cancellations received by January 17, 2025. No refunds will be issued after January 18, however, the registration may be transferred to a colleague who is NOT currently registered with written notification. Registration fees cannot be applied to future meetings. Refunds will be processed when received. Submit Trade Booth Registration Sponsor Registration