PMCQ Online Meeting Reservation Form for Non-Members Only

After completing the order form below, you will be taken to the Moneris secure payment website by clicking on the button Proceed to checkout, where you can pay by a major credit card of your choice. You will receive a receipt by email to the address you specify in the email field below shortly thereafter. Please note that your personalized name tag(s) and ticket(s) will be prepared according to the information entered on the form and will be available at the registration desk the day of the event.

Please note that photos and videos are regularly recorded during our events. By registering, you understand and accept that these may be used by the PMCQ for informational and promotional purposes.

Fields marketd with an * are mandatory

Meeting Date*

First Name*

Last Name*

Company*

Address*

City*

Postal Code*

Province*

Telephone*

Fax

E-mail*

Attendees

Meal*

Attendee Name*

Attendee Company

Attendee Depatment

Member*:
Non-Member*:

$ .00

Thank You to our Educational Partners