Company Name:  

Phone#:     Fax#:     Email:

First Registrant Name:          

Second Registrant Name:    

Third Registrant Name:         

Fourth Registrant Name:      

Fifth Registrant Name:          

Sixth Registrant Name:         

Total amount for all registrants (TMAC members) ( # X $40.00) =   

Total amount for all registrants (non members) ( # X $50.00) =   

Payment is required in advance of the luncheon to secure your registration. TMAC-Calgary's policy is to charge for "no shows" that have not cancelled (and not paid for) their reservation. Refunds cannot be given on cancellations received less than 72 hours prior to this function. Please consider this form to be your invoice as we do not issue invoices or receipts at the door.

VISA or MASTERCARD account # Expiry date: .

Cardholder Name (as it appears on card):

Signature: ______________________________

Register by E-mail by clicking this button     , you will receive a reply email from Paul - bring a printed copy of the reply email to the luncheon as confirmation of your registration (if you wish to email Paul separate from this form you may do so using the following address: Luncheon@tmaccalgary.com