{{subscription | json}} {{formIsInvalid}}
01 registration form (main contact)
  • QC
Are you a RPM (Xn Quebec) member? :
Become a Xn member
Did you submitted a project to the Numix Award this year?

Registration fees

Xn Member: 150$ (taxes) for the first project and 100$ (taxes) for the following.Non-member: 225$ (taxes) for the first project and 150$ (taxes) for the following.

Name :
{{subscription.customer.name}}
Company :
{{subscription.customer.company}}
Address :
{{subscription.customer.address}}
{{subscription.customer.city}}
{{subscription.customer.postalCode}}
Québec
Email :
{{subscription.customer.email}}
Phone :
{{subscription.customer.phone}} {{subscription.customer.ext}}
Are you a RPM (Xn) member?
{{subscription.customer.rpm == "no" | iif : "Non" : "Oui" }}
Did you submitted a project to the Numix Award this year?
{{subscription.customer.alreadyRegistered == "no" | iif : "Non" : "Oui" }}

Registration fees

Xn Member: 150$ (taxes) for the first project and 100$ (taxes) for the following.Non-member: 225$ (taxes) for the first project and 150$ (taxes) for the following.

Edit information

Registration

If you wish to register, please access this page with a computer.

{{submition.title}} 

{{submition.classification.name}} 

{{submition.bill}}$

You must complete the form before editing it.
Are you sure you want to delete this project?
Cancel Delete
02 select the category
03 About the production
  • Optional
    Optional
  • Optional
    Optional
  • If it's a paid application online, enter 6 free access codes

05 producer or co-producer
  • The candidate(s) indicated above will be (are) on the official list and named as the recipient(s) of the award.
04 Credits Please fill in only those fields that you consider relevant to your achievement.
04 Company Information

If the projects are on DVD or other media, send 4 copies to the following address:

PRIX NUMIX : 301, boulevard De Maisonneuve Est,
Montréal (Québec) H2X 1K1
Canada

Choose a payment method

Subtotal
{{subscription.bill.total | number:2}} $
TPS
{{subscription.bill.tps | number:2}} $
TVQ
{{subscription.bill.tvq | number:2}} $
Total
{{subscription.bill.gtotal | number:2}} $
Proceed to payment
You must fill in the mandatory fields in red of the current form before adding another one.
Add another project
You must fill in the mandatory fields in red of the current form before adding another one.
Submit