RON ELLIS: THE ERAS TOUR

Attendees should complete the Registration Profile.

If the billing contact and address are different, use the provided Billing Profile.

How many people are you registering? *

Please provide details of the person who will attend the event.

Zoom Event Attendee Registration Profile

Attendee Email (Work) *

First Name *

Last Name *

Employer

Agency, Ministry, or Company Name

Street Address (Work) *

Additional Address

Suite, Floor, etc.

Country

City (Work) *

Province (Work) *

Postal Code (Work) *

Phone (Work)

Please include a free SOAR Membership.

Yes

I wish to subscribe to electronic communications from SOAR *

Yes

Event Fee(s) *

Registration ($25 + HST) - $ 25.00 + $ 3.25 HST

Total for this participant

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

The Society of Ontario Adjudicators and Regulators