FSoirée

Soirée
F
CA
Saturday, May 15, 2010, at 5:30 p.m.
Hyatt Regency Montréal (1255, Jeanne-Mance Street, Montreal)
Saturday, May 9, 2009, at 5:30 p.m., at the Marché Bonsecours, 350 St-Paul Street East, Montreal
Membership No.: ________________________________________________________________
Name: _______________________________________________________________________
Address: _______________________________________________________________________
Employer: ______________________________________________________________________
Tel. office: ______________________________________________________________________
Member of Committee: _________________________________________________________
Number of tickets: ___________ X $215* (taxes included) = $ ______________________
GST: 107803009RT0001 – QST: 1006163536TQ0001
* The registrations fees include an amount of $128 (before taxes and services) wich represents the price of the meal.
❒ Cheque included made out to the Ordre des comptables agréés du Québec
❒ Visa
❒ MasterCard
Card No.: _____________________________________________________________________
Name of cardholder: ____________________________________________________________
Expiration date: ___ /________ Signature: _________________________________________ Please indicate the names of the guests who will make up your table (10 per table).
Groups of less then 10 will be assigned a table by the organizers.
_______________________________________ _____________________________________
_______________________________________ _____________________________________
_______________________________________ _____________________________________
_______________________________________ _____________________________________
_______________________________________ _____________________________________
Special diet / allergies: __________________________________________________________
Places are limited!
Please return this form before April 30, 2010 by fax at 514 843.8375 to Nancy Alexandre.
No refunds will be made after May 4, 2010. No cancellations will be accepted by telephone.
For more information, contact Nancy Alexandre at 514 982.4620 or 1 800 363.4688, ext. 4620
or at [email protected].
Ordre des comptables agréés du Québec, 680 Sherbrooke Street West, 18th Floor, Montreal,
Quebec H3A 2S3.
Black tie (tuxedo) / Evening gown