Online Registration Form

Salutation
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First Name *

Middle Name

Last Name *

Title

Organization

Website

Business Phone Number *

Fax Number

Email *

Please Confirm Email *

Country *
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Bldg./Unit Number

Street

City *

Province/State/Region *

Postal/Zip Code *

By registering to the World Indigenous Business Forum, delegates agree to allow ILDII and WIBF to use the information provided for internal purposes only and will not be used by a third party, and understand the fees and Cancellation Policy. LDII will record the entire event in audio, video and pictures. ILDII will retain the rights to use and distribute this material for educative and communication purposes, on social media, media and current or future audiovisual materials. Any questions, contact Barb Hambleton by phone: 1(204) 940-1700 or email: barbhambleton@ildii.ca

Are you interested in receiving updates about upcoming World Indigenous Business Forums and its other initiatives.
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Early Bird Registration: $749.00 (USD) per registrant until July 31, 2017 *
Early Bird Registration $749.00

(Registration includes one ticket to both the Welcome Reception and the VIP Reception. Lunches are provided both days of the main forum on October 25 and 26, 2017 as well.)

Additional guest lunch tickets may be purchased by delegates. Maximum of 2 tickets per delegate. limited amount available

Wednesday, October 25 Lunch ticket: $50(USD)
# of Tickets 0Oct. 25 Lunch +1Oct. 25 Lunch +2

Thursday, October 26 Lunch ticket: $50(USD)
# of Tickets 0Oct. 26 Lunch +1Oct. 26 Lunch +2

Additional VIP evening reception tickets may be purchased by delegates. maximum of 2 tickets per delegate. limited amount available

Evening VIP reception ticket: $99(USD)
# of Tickets 0VIP reception +1VIP reception +2

Cancellation Policy: Cancellation may be requested in writing by September 18, 2017, the refund will be processed in the same manner it was received (Credit Card, Cheque or Money Order). A processing fee of 25% will be deducted; cancellation requests received after the cancellation date may not be entitled to a refund.

Send your cancellation request to:
Barb Hambleton – Indigenous Leadership Development
Institute Inc. 206-1075 Portage Avenue, Winnipeg, Manitoba,
Canada R3G 0R8 or barbhambleton@ildii.ca