McMASTER STUDENTS
UNION
2014 COCA CENTRAL REGIONAL CONFERENCE
Thursday to Saturday, November 6–8, 2014
Associate (artist or company) Conference Registration - Page 1
Return this application with fees payable to: “MSU McMaster”
Al Legault, COCA Central / MSU McMaster / MUSC 201 / 1280 Main Street W / Hamilton, ON L8S 4S4
Phone: 905-525-9140, x24114 / Fax: 905-529-3208 / events@msu.mcmaster.ca
Name of Company or Act:
Mailing Address:
City:
Prov/Sate:
Phone:
Fax :
Primary Delegate:
First & Last Name
First or Nickname
for Top of Badge
Postal/Zip:
Title/Position
E-mail Address
Additional Delegates:
N.B. Please note any special dietary needs (e.g. vegetarian, vegan, kosher, halal, etc.)
Type of Company or Act:
Campus Activities Biz Hall (trade show) – Saturday, Nov. 8, 2014
Crowne Plaza Hamilton Hotel & Conference Center
150 King St E, Hamilton, ON L8N 1B2 – Tel: 905-528-3451 – www.cphamilton.com
Please Complete the Following:
Number of 8’ x 8’ booth spaces required for Biz Hall (trade show):
If more than one booth space requested, should these spaces be adjacent?
Yes
No
State number of 15 Amp, 110-volt duplex outlets required ($40 per outlet)
Will food or beverage samples be provided at your booth?
Yes
No
Will you be bringing your own audio/video equipment?
Yes
No
Please list any special requests:
Note. Please also complete Pages 2 of this form and keep a copy of both pages for your records.
Cheques: If paying by cheque, payment must be received by MSU McMaster BEFORE arrival in order to confirm
conference registration for your company or act.
Refund Policy: In the event of cancellation, these fees are fully refundable until October 9, 50% refundable until
October 23, and not refundable after October 23.
2014 COCA Central Regional Conference
Associate (artist or company) Conference Registration – Page 2
(all fees are subject to Ontario HST tax)
Name of Company or Act:
1. MANDATORY SECTION – Choose ONE (1) of the following:
Full Booth Fee (1 delegate pass)
$
@ $250
Includes: 3-day Associate Conference pass, delegate kit with conference manual,
1 8’x8’ Booth w/ 6’ table & chair at Biz Hall on Saturday, and Sat. lunch.
OR
OR
Shared Booth Fee (1 delegate pass)
$
@ $210
(N.B. This option is available ONLY to self-represented artists or speakers.)
Includes: 3-day Associate Conference pass, delegate kit with conference manual,
shared 8’x8’ Booth, 6’ table & chair at Biz Hall on Saturday, and Sat. lunch.
2. OPTIONAL SECTION – Additional Delegates, Booth, Booth Power
Additional Delegate Fees (Pass to entire Conf.) @ $100
(____x $100/person) = $
(N.B. Only available with 1 of the above mandatory Booth Fees. Includes 1 Full Associate
Conference Pass, 1 Conf. Manual, and Saturday lunch (Nov. 8).
Additional Conference Meals
Please verify meals included in Booth / Delegate fees – e.g. Saturday lunch – before ordering meals.
Friday, Nov. 7
Lunch – Crowne Plaza
(____x $35) = $
Friday, Nov. 7
Dinner - MUSC
(____x $45) = $
Saturday, Nov. 8
Lunch - Crowne Plaza
(____x $35) = $
Saturday, Nov. 8
Dinner – Crowne Plaza
(____x $50) = $
Additional Booth(s) to create double or triple @ $75
110 Volt Electrical Outlet at your Booth @ $40
(____x $75) =
(____x $40) =
$
$
3. IF APPLICABLE, ADD: Membership, Showcase, Advertising Fees
COCA Associate Fees (formerly called membership fees)
(Mandatory Fee if: - New Associate or if NOT yet renewed in 2014 – pls. attach Assoc. Appln. Or Renewal form)
(Minimum: $335.) $
(Take pre-tax subtotal from Associate - Companies form)
OR (Take pre-tax subtotal from Associate - Artists form)
(Minimum: $175.)
$
Showcase Application Fees (If applicable – $30/act)
(____x $30) = $
Showcase Fees - Artist Name(s):
(____x $200) = $
Conference Manual Advertising (Take pre-tax subtotal from Advert. Order Form)
$
)
) OR
+
4. MANDATORY – ADD TAX:
SUB-TOTAL (ALL Mandatory & Optional Fees above)
SUBTOTAL $
Add: Ontario HST tax @ 13% (HST #10360 2777 RT0001)
+
TOTAL PAYABLE
To be Paid by: □ Cheque payable to “MSU McMaster”
Card #:
=
+ 13% HST $
TOTAL $
=
OR □ Visa □ MasterCard □ Amex
Expiry:
Name on Card:
Authorization Signature:
(N.B. Your signature authorizes MSU to charge “TOTAL” above to your credit card.)
Security Note: If returning this form by email, you may leave credit card numbers blank and send separately by fax or phone.
Send completed form plus payment in full to: Al Legault, COCA Central / MSU McMaster / MUSC 201 / 1280 Main
Street W / Hamilton, ON L8S 4S4 / Phone: 905-525-9140, x24114 / Fax: 905-529-3208 / events@msu.mcmaster.ca
Cheques: If paying by cheque, payment must be received by MSU McMaster BEFORE arrival in order to confirm conference
registration for your company or act.
Please keep a copy of this form for your records.