ACTE Canada Education Conference Registration Form

1. First Name*
2. Last Name*
3. Informal Name
4. Business Title*
5. Organization*
6. Address 1*
7. Address 2
8. City*
9. State/Province
10. Zip/Postal Code
11. Country*
12. Telephone
13. Facsimile
14. E-Mail*

Are you currently a member of ACTE?Yes No

Is this your first ACTE Canada Education Conference?Yes No

Special Accommodations/Dietary Needs:

Please indicate below if you require special accommodations to fully participate, if you have special dietary needs, or if there is anything we can do to make your attendance at the conference easier:

Travel Management Company

Consultant

Guest Registration:

Guest Name

Group Registration:

For groups of at least 3 corporate buyers from the same company, contact ACTE about special promotional rates. Click here to contact ACTE.

*In order to qualify for the member rate, an individual must be a member at least through the dates of the conference. Any member expiring prior to the conference and not renewing their membership will be charged the non-member rate.

**A guest is a spouse/ significant other, friend or an adult child (18 and over) who is not in an industry-related occupation. A co-worker or an associate within the industry may not use the guest registration category. Registered guests may participate in all official social events, meal functions and general sessions. Registered guests are not eligible to attend the education sessions.

***Must be a full-time student and not employed in the corporate travel industry to be eligible for Student registration fees. Student ID will be required at Registration.

+Registration rate includes one year of ACTE membership.

1. Check* or Wire Transfer** - If paying by wire transfer, please add $15.00 to the total registration fee or the registration will not be processed.
2. American Express
3. Diners Club
4. Eurocard/MasterCard
5. Visa

1. Cardholder Name
2. Card Number Exp Date
3. Priority Code/Comments

* If paying by check, mail completed form with check to:

ACTE Registration Office, 111 South Pine Street, Burlington, WI 53105 United States

** If paying by wire transfer, please add $15.00 to the total registration fee or the registration will not be processed, and submit your payment to:

Beneficiary: Association of Corporate Travel Executives (ACTE)
Federal ID No.: 22-2873139
Address: 515 King Street, Suite 440, Alexandria, VA 22314, USA

Telephone: 1-703-683-5322

Bank Name: SunTrust
Bank Address: 1 Park Place, Atlanta, GA 30303, USA

Bank Account No.: 202866998
Routing No.: 061000104
Swift Code: SNTRUS3A

Please reference name of sender/company, ACTE invoice number and/or purpose of payment.

(Note: If you would like to keep a copy of this registration please print using your browser's print feature before submitting this form.)

By entering submit and remitting payment, I expressly and knowingly accept the ACTE Cancellation/Transfer and Waiver of Liability Policy outlined below.

Waiver of Liability

By completing this registration form, I, on my own behalf and on behalf of my heirs, personal representatives, and assigns, hereby knowingly and freely release, indemnify and hold harmless The Association of Corporate Travel Executives (ACTE), and all of their officers, directors, managers, partners, member, employees, and volunteers (collectively, 'released parties') from all claims, demands, actions, rights of action, or other legal rights to claim compensation for any loss or injury (including death) which I may sustain as a result of negligence or fault, or the condition of the premises, or any other cause whatsoever, whether loss or injury occurs while participating in, going to, or coming from such activity.

As a result, I am able to participation ACTE events and I do hereby assume responsibility for my own well-being. I expressly agree that this waiver and release agreement is intended to be as broad and inclusive as permitted by Law wherein such activities may occur, and that if any portion hereof is held invalid, the remainder hereof shall continue in full force and effect.

Cancellation/Transfer Policy

All transferred or cancelled registrations will be charged a fee of $125 CAD. In addition, on transferred registrations additional fees may be charged relating to the price difference between member and non-member rates, as well as current registration rates. Cancellations received on or prior to 16 October 2009 will receive a credit, less cancellation fee to their ACTE account. Credits will be valid for use for 12 months from the date they were entered as a credit and may be used for future ACTE events or membership dues. After 12 months, the credit will expire without exception. No credit or refund will be given for cancellations received after 9 October 2009 or for no-shows. Any change to a registration, including the addition of a promotion code, will be charged a $50 administration fee.

If this event is cancelled due to reasons beyond ACTE's control, ACTE reserves the right to retain a $210 CAD processing fee for all conference registrations.

Please send cancellation/transfer requests by email to acte@aysinc.com or fax to 1-262-763-7037.

Please contact ACTE at 1-262-763-1902 or acte@aysinc.com with questions or more information.

Please Note:
By filling out this form you are allowing ACTE to share your contact details with the sponsors of this event. If you would like your information removed from the event’s final attendee list, please contact ACTE at acte@aysinc.com.