Registration Form - Alliance for Equality of Blind Canadians (AEBC)

AEBC Vision Assistive Technology and Community Support Exhibition 2017

Friday April 28, 2017. 9AM to 5PM

Courtyard by Marriott Downtown Toronto

University A&B Room (Lower Level)

475 Yonge Street

Toronto, ON M4Y 1X7

T- 416-924-0611

Cost to Exhibit: Non Profit: $75. / For Profit: $250. (2 Tables Max.)

Electricity and Wi-Fi: Electricity is complimentary: (Please bring your own extension cord and power bars). Wi-Fi: Is complimentary: Please ask for log in information at the registration table.

Lunch: Lunch is not included, although we will have volunteers to watch your table(s) while you have your lunch.

Set-Up: You are welcome to set up your table(s) between 7:30 AM until 8:45AM. (All tables must be set up by 8:45 AM, as the exhibit hall opens at 9 AM sharp.

Exhibitor Information:- Please Print or Type

Organization's Name: ______

Name of Contact Person:______

Office Phone: ______

Cell:______

Email:______

Website: ______

Full Address: ______

Names of representative(s) attending: ______

Door Prize(s): We are asking for each organization, service provider and vendor to support us with a door prize if possible.

Door Prize: ______. Yes or No, if yes, please specify: ______.

Sponsor this Event:Consider becoming a sponsor for this event:

Payment for Exhibit Tables Deadline:Friday, March 17, 2017.

Non Profit: $75. ______

For Profit: $250. ______

How many exhibit table(s): ______(Maximum 2)

Grand total of cheque or amount to be processed on Visa or MasterCard: $______

Important: Please make cheques payable to: Alliance for Equality of Blind Canadians

We also accept Visa or MasterCard:

Type of card: _____Card number: ______

Expiry date: mm: ____ yyyy: ____Security Code on back of card: ______

Name, as it appears on card: ______

Credit card billing address including postal code: ______

Signature: ______

If you require accommodations at the hotel, A block of rooms has been reserved for the conference, including standard king or standard two beds, $149.00 plus taxes per night. Hotel room rates are subject to all applicable tax and fees, currently 13% Harmonized Sales Tax (HST) and 2.66% Destination Marketing Program (DMP). Please note additional costs for triple and quad occupancy may apply.Reservations for the event will be made by individual attendees directly with Marriott reservations at 1 (800) 847-5075. (Please let the reservation agent know that you are booking your reservation under the Alliance for Equality of Blind Canadians guest room block.)

Please send registration form with payment to:

Alliance for Equality of Blind Canadians

c/o Marlene Morell

279 Beaver Meadow Road

Beaver Meadow, Nova Scotia

B2G 2K8. .

Email:

Thank you for participating in the AEBC Vision Assistive Technology and Community Support Exhibition 2017