2023 Atlantic Broker Convention

Tradeshow Booth $950.00

Includes one Full Delegate

General Contact Person (can be the same as the Full Delegate)

Company

Phone

Email address of contact person:

This fee includes one Full Delegate. Please answer the following for the onsite Full Delegate:

First Name

Last Name

Email

Industry Affiliation

Broker
Insurer
Adjustor
Supplier
Other:

If you choose broker, please select which affiliation you belong to:

IBANB
IBANS
IBAN
IBAPEI
n/a
Other:

Preferred Name (for name badge)

Do you have any dietary concerns?

Insurance Brokers Association of Prince Edward Island
PO Box 457, Charlottetown, PE C1A 7L1

Email