Step 1 of 9 - Step 1 11% COMPLETE YOUR TRADE SHOW REGISTRATION Vendor Registration, Name Badges & Event Tickets Show Dates: May 23rd - 25th, 2019 Location: Calgary, AB Exhibitor Cost: $6,000.00 +HST per booth - Space is limited and priority given to early applicants. Booths will be assigned upon registration. IMPORTANT NOTE: All future correspondence will be directed to the contact person listed in this application. Complete the form below. Your responses will be emailed to the address entered below. A copy of your responses will be emailed to the email address below. Please ensure you double check your address for any typos. Vendor Registration and Contact Person InformationRegistration Type*VendorEnter Your Email / Confirm Your Email* Please enter the best email to contact you with. Please confirm the best email to contact you with. Set Your Account Password*Setup your account password, to be able to access your registration at any time! Enter Password Confirm Password Company/Broker Name*IF REGISTERING AS A BROKER, PLEASE LIST ALL COMPANIES YOU ARE REPRESENTING AT YOUR BOOTH(S):Contact Name*All future correspondence will be directed to the contact person listed in this application. First Last Contact Job TitleMailing Address* Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Different Billing Address?*Fill in Billing Contact Info and separate email address if not same as above. For special billing requirements, please contact Cindy Larade at [email protected]SelectYesNoBilling Address* Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Alternate Contact First Last Alternate Email(If required) Indicate a secondary email address. Phone*WebsitePlease include a link to your company website for customer referencing, company info, etc.) Exhibitor Product InformationPharmaChoice Category Manager*(If you are not sure, choose 'Other')SelectHABA / Confection (Chris Slaney)OTC / Diabetes (Greg Ottmann)Pharmacy (Kamran Nisar / Carolyn McCaughan / Roger Irmen)Marketing (Martin Wigginton / Cory Flaman)Private Label (Jacques Gaudet)HHC / HABA (James Stevens)Gift / Toys / Cosmetics (Kayla Cozac)OtherWill you be submitting product show sheets?*If you are not sure, please contact your category manager.SelectYesNoNot SureProduct Distribution ChannelPlease choose your methods for distribution.Distribution Channel - McKesson*SelectYesNoDistribution Channel - FJ Wadden*SelectYesNoDistribution Channel - Direct*SelectYesNoDistribution Channel - I do not sell product*SelectYesNo Billing Info Please complete as accurately as possible. You will receive an invoice from PharmaChoice after your registration has been approved. Please note that to guarantee your booth at the 2019 National Trade Show, your payment must be received in full. For any questions, please email [email protected]# of Exhibitor Booths required Price: $ 6,000.00 CAD + applicable taxesQuantity of Booths*Please enter a value between 0 and 4.Number of Electrical Outlets Required1st - No Charge | more than one - $85.00 each Price: $ 85.00 CAD Electrical Outlet Quantity*Please enter a value between 0 and 4.+ applicable taxesFree Electrical Outlet Price: -$ 85.00 CAD Booth Prize Opportunity*Would you like to participate in the booth prize opportunity where a PharmaChoice member gets a prize for visiting your booth? Price: $100.00SelectYesNoBooth Prize Opportunity* Price: $ 100.00 CAD + applicable taxesTotals $ 0.00 CAD + applicable taxesAnything we should know?Indicate here any additional comments (Booth Height Restrictions, Special Requirements, Billing Questions, etc.)I have completely read and understand the Rules and Regulations and hereby apply for space in the 2019 PharmaChoice Trade Show. I agree to pay for full cost of rental booth space requested prior to the trade show. No refunds will be given once registration is confirmed and accepted.* Accept Attendee Registration Please select the number of attendees for the trade show and fill in the full name of every person attending the show. These fields will be used to create name badges for the attendees.Total Attendees*Select the amount of attendees by clicking on the dropdownSelect12345678910Attendee #1Attendee #1 - Full NameAttendee #1 - TitleAttendee #2Attendee #2 - Full NameAttendee #2 - TitleAttendee #3Attendee #3 - Full NameAttendee #3 - TitleAttendee #4Attendee #4 - Full NameAttendee #4 - TitleAttendee #5Attendee #5 - Full NameAttendee #5 - TitleAttendee #6Attendee #6 - Full NameAttendee #6 - TitleAttendee #7Attendee #7 - Full NameAttendee #7 - TitleAttendee #8Attendee #8 - Full NameAttendee #8 - TitleAttendee #9Attendee #9 - Full NameAttendee #9 - TitleAttendee #10Attendee #10 - Full NameAttendee #10 - Title LUNCH TICKETS Lunch will be provided for those attending the show on Friday, May 24th. Please let us know how many people will be joining us for lunch. You will receive 2 complimentary lunch tickets. Additional tickets are $30.00 each.Lunch Tickets*SelectYesNoNumber of complimentary lunch tickets (Max of 2)*Select12Do you need additional lunch tickets?*SelectYesNoAdditional lunch tickets* Price: $ 30.00 CAD Quantity: + applicable taxes DOWNLOAD FORMS Please download forms for your booth. They can also be found in the Account -> Download Forms page. AV Form Download Please download the AV form for your booth. Once completed send to the venue per form instructions. Superior Show Services Package Download Please complete the required information and send your completed form to Superior Show Services Package by fax 403-261-8576, or email to [email protected] McKesson Listings Download Please download and complete this form if your items are listed through McKesson Direct Listings Download Please download and complete this form if your items are ordered directly through your company Mystery Show Special Download Please complete the Mystery Show Special opportunity form and forward to your PharmaChoice Canada Category Manager Review Registration Information Please review your registration information to confirm the details before submission. This iframe contains the logic required to handle Ajax powered Gravity Forms.