Reservation Form

First name:*        
Last Name:*        
Company Name:        
Address:*        
City:*        
Province:*        
Postal Code:*        
Phone Number:*        
Phone Extension (if any):        
Mobile Phone Number:        
Email:*        
Invitation Received From:*        

Enter Purchased Items Here*

Click checkbox to select	Gold Sponsorship:	VIP Package:	Other contribution:
Item Description	Exclusivity in your business sector, in-person attendance at the event for 2 people (health measures permitting*), visibility, local gourmet products, Food & drink pairing, etc.	In-person attendance at the event for 2 people (health measures permitting*), visibility, local gourmet products, food & drink pairing, etc.	For each 500$, get 1 gourmet box and a virtual attendance at the event (both for 2 people) **
Price	$8,000	$5,000	$500

* If health measures do not allow in-person attendance, the event will be fully virtual

** Companies outside the Quebec City area can transfer their boxes and/or local products to an organization or person of their choice or receive a gift certificate to a restaurant in their area. (To be confirmed with Red Cross staff).

How will you be paying?:

    


*For payment by credit card and by bank transfer, please contact:
marion.corderoch@croixrouge.ca or Marion Corderoch 1 514 362-2929, ext. 3622903

Please send your check to:
Marion Corderoch
Croix-Rouge canadienne, Québec
6, Place du commerce
Verdun (Québec) H3E 1P4

For information: marion.corderoch@croixrouge.ca or Marion Corderoch 1 514 362-2930 ext. 3622903