Face-to-Face Register - influenceTHIS

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Today's Date
Date Format: MM slash DD slash YYYY
Register Here
First Name*
Last Name*
Job Title*
Company*
What area of the industry do you work in ?*
Mobile Phone Number*
Email*
Please indicate if you are available to take pre-booked 15 minute meetings while at the event.
- yes, I'm available to take pre-booked 15 minute meetings while at the event
*To ensure a high standard of meeting quality, you will be able to preview the meeting requests and decide if they are relevant to you prior to taking them.
Finalize and Pay
Quantity
Ticket Price
Price: $ 499.00 CAD
Administration Fee
Price: $ 6.00 CAD
Tax
Total
$ 0.00 CAD
Discount Code
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Terms and Conditions*
- I agree to the Terms of Service
Please keep me updated with information about the conference*
- Yes