67th Annual General Meeting & Convention
Nechako Valley Secondary School
Vanderhoof, BC
April 13th - 15th, 2012

BCTA AGM & Convention Registration Form

PRE-REGISTER NOW! SAVE YOURSELF TIME & MONEY!!

Please fill out this form to register for the BCTA Convention. Registration includes 3 lunches, 1 dinner and 5 coffee breaks.

Every person must be registered. The hall & meals are paid on a per person basis. If you register before March 15th, you qualify for the Pre-Registration draw! Also, a special prize is drawn on the banquet tickets.

You may pick up your Pre Registration package (meal tickets, banquet tickets & receipt) at the Fast Track desk at the Convention.

If you prefer, please print this form out and fax it to us at 250-962-5462. Or you can call in your order at 866-222-0454 or 250-962-5452. Or you can print it out and send with your cheque made out to the BCTA, P.O. Box 1063, Prince George, BC, V2L 4V2

Name:
Address:
City:
State/Province:
Country:
Postal/Zip Code:
Telephone:
Email:
Registrations: Adult Registrations x $70 ($80 if received after March 15th)
Child Registrations x $30 ($40 if received after March 15th)
Banquet & Dance x $40 ($50 if received after March 15th)

You may also renew your BCTA Membership at this time.

Level of Participation: Individual $50
Individual 5 Year $250
Family $70
Family 5 Year $350
Corporate - Bronze $250
Corporate - Silver $500
Corporate - Gold $750
Corporate - Platinum $1000
Associate Member - First Nations $100
Associate Member - Small Business $100
Associate Member - Other Organization $100
Donation to the BCTA (no membership)
Payment Method Visa     Mastercard
Credit Card Number:
Name on Card:
Expiry Date:
Card Billing Address:
(if different from above)
Street Address
City, Province
Postal Code
Comments:

Note: Information used ONLY by BCTA and not shared.






BC Trappers Association
BC Trappers Association