#PlaybackFilmSummit
Playback Film Summit 2022 Registration Form

Playback Film Summit 2022 Registration Form

Step 1/6

If you have a promo code, please enter it here:

Early Bird Rate (Expires Oct 14)
  CAD$185 + HST

For more information, please contact Alisha Tabilin at 416-408-2300 x219 or atabilin@brunico.com.

Step 2/6

Are you already in our database?

Please enter your email address:
E-mail not valid
Step 3/6

Delegate Information

Fields marked with red asterisks (*) are required. Read the fine print for cancellation and substitution policies.

 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Invalid Email Address
 * Does not match
 * Required

Your Delegate Badge Information

Step 4/6

Credit Card Details

Fields marked with red asterisks (*) are required. Read the fine print for cancellation and substitution policies.

 Visa
 MasterCard
 American Express
* Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
 * Required
Step 5/6
Complete Order

Your credit card will be charged once you click on the 'Complete Order' button below. The charge on your credit card will appear as Brunico Marketing Inc.

Upon clicking 'Complete Order' please do not refresh your browser or click the back button. Please wait for the process to finish. Failure to do so may result in duplicate charges to your credit card.

Step 6/6

Order submitted, please wait.

Please do not refresh your browser or click the Back button as this may result in duplicate charges on your credit card.


Information collected through this web form is subject to our privacy policy and is collected for the following express purposes:

  1. To fulfill your registration request
  2. To accurately obtain your information
  3. To contact you regarding your registration: to verify the information supplied by you; to allow you to make changes to your information; to confirm your registration; to issue a payment receipt; to issue an invoice; to solicit your feedback regarding the event; to inform you of changes to the schedule or new developments related to the event. Contact may be made via email, mail, fax or telephone.
  4. To include your information on the event's published delegate list

PLAYBACK FILM SUMMIT is produced by Brunico Communications Ltd.
View our privacy policy

Search

Event Menu