Name: *
CPIM: CFPIM: CIRM: CSCP:
Other designations:

Company: *

Position / Title:

City: *

Province: AB BC ON QC MB NB NS PE NF SK USA *

Email:

APICS or Alliance Partner Member?

Yes
No
I wish to become an APICS member now: Please click here and fill out your membership application. Then type "New" in the membership # field.

APICS Chapter: Other (Please specify below) Atlantic Provinces Calgary Durham Edmonton Estrie Fraser Valley Hamilton Kawartha London Montreal Okanagan Ontario Grand Valley Ottawa Peel Quebec Saguenay Simcoe Toronto Vancouver Winnipeg Algonquin College ASC BCIT ASC Centennial College ASC Concordia University ASC Conestoga College ASC Confederation College ASC Durham College ASC Fleming College ASC HEC ASC Humber College ASC Seneca College ASC St Clair College ASC University Laval ASC UQ Trois Rivieres ASC Rotman ASC York University ASC APICS (Corporate) Canadian District Staff

Chapter (if "Other" was selected) or Association:

Membership #:

* This information will appear on your name tag.

Registration Options

Note: Your registration application will be acknowledged upon receipt of this form. Your registration will be confirmed upon receipt of payment.

All prices are quoted in Canadian dollars.

Registration options:

(Note: If you have checked the "New Member" box, please register as a member. We will obtain your membership number.)

Select: Conference and dinner - Professional Member: $250 + HST = $282.50 Conference and dinner - Student Member: $170 + HST = $192.10 Conference and dinner - Speaker or volunteer: $50 + HST = $56.50 Conference and dinner - Vendor or sponsor: $50 + HST = $56.50 Conference and dinner - Case Competitor: $40 + HST = $45.20 Conference and dinner - OGV Past president: $150 + HST = $169.50 Conference only -Professional Member: $200 + HST = $226.00 Conference only - Student Member: $130 + HST = $146.90 Conference only - Speaker or volunteer: $0 Conference only - Vendor or Sponsor: $0 Conference only - Case Compeitor: $0 Dinner only - Professional Member: $50 + HST = $56.50 Dinner only - Student Member: $40 + HST = $45.20 Dinner only - OGV Past president: $0 District meeting only - $0

If you are attending the dinner, please indicate any dietary allergies / restrictions:

Yes
No

If yes, volunteer role: (President, Director Marketing, etc.)

Payment Options

Our mailing address is:

APICS OGV
P O Box 25052
1221 Weber Street East
Kitchener, ON N2A 2C1

Mail (Default)
Direct Deposit (We will contact you via email with details)
Credit Card / PayPal (You will receive an invoice via PayPal)

Your registration will be confirmed upon receipt of payment.

Privacy Opt-out

Respecting our privacy policies, we provide some of our sponsors and vendors with a list of attendees which includes only your name and company. Do we have your permission to include your email address on this list?

Yes
No