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PLEASE NOTE: ONLY INDUSTRY THAT ARE SPONSORING THE CONFERENCE MAY REGISTER.
CONFERENCE IS NOT OPEN TO NON SPONSORING INDUSTRY

REGISTRANT INFORMATION:

Please contact HayMatick at 778-882-4389 or info@haymatick.com for any questions regarding registration


(* = required field)

*
*First Name
 
*Last Name
*Institution/Hospital
or Company
 
*Address
*City
 
*State/Province
*Zip/Postal
 
*Country
*Telephone
 
*Email
  *Specialty
*Are you a Fellow/Resident/Trainee?    

ACCOMMODATION:
Fairmont Chateau Whistler, Whistler BC

The Canadian Breast Cancer Symposium has negotiated a discounted room rate of $244/night. Please book your hotel room before December 15, 2019 at the link below. Room rate is not guaranteed after December 15, 2019.
Please note, Hotel sells out every year so please book early!

To book your accommodation directly with Fairmont Chateau Whistler click here.

Guests will also be able to make reservations three days prior and three days after the group dates at the contracted group rates.
Guests may also call the Inhouse Reservations Department at 1-800-606-8244 to make their reservations. Callers should identify themselves as being part of the ‘Canadian Breast Cancer Symposium’ or group code '0120CANA' in order to receive the group rates.

Comments / Questions
Please make your own airline and travel arrangements.

PLEASE RSVP:

*Will you be attending the Friday night Canadian Breast Cancer Symposium Welcome Reception at 6pm at the Fairmont Chateau?  

ADDITIONAL INFORMATION:

*If you have SPECIAL DIETARY NEEDS,
please indicate your requirements
 

The Canadian Breast Cancer Symposium shares a participant list with Silver to Platinum sponsors that includes the participant's name, email, specialty and city. Please check the box below if you DO NOT wish to have your information included on this participant list:

REGISTRATION FEES:

Registration fees collected by HayMatick on behalf of the Canadian Breast Cancer Symposium - REGISTRATION FEES (Canadian Dollars)

Registration Options (please read carefully, there are three options, please select one):


Early bird registration fee available before December 29, 2019: $250
Registration fee after December 29, 2019: $300
Allied health professionals, residents and fellows: $150


Early bird registration fee available before December 29, 2019: $1350
Registration fee after December 29, 2019: $1950
The Oncoplastic Workshop on Thursday January 30th is open to Breast Surgeons that are interested in learning Oncoplastic Surgery principles.
Please visit the Oncoplastic Partners website for more information: www.oncoplasticpartnershipworkshop.ca


(surgeons workshop on Thursday January 30th, symposium on Friday January 31st (afternoon) and Saturday February 1st)
Early bird registration fee available before December 29, 2019: $1550
Registration fee after December 29, 2019: $2200

Please note, a processing fee of $300 + 13% HST will be retained on cancellation of the Oncoplastic workshop. Requests for cancellation must be made in writing.

PAYMENT INFORMATION:


We are using SSL (Secured Socket Layer) encryption technology to protect your credit card information during transmission.
Credit Card
   
Credit Card Number
Expiry Date
CVD
(3-4 digit code)
Cardholder Name
Payment Amount $250

PLEASE MAKE CHEQUE PAYABLE TO "HayMatick Meetings & Events"
PAYMENT BY CHEQUE CAN BE MAILED IN ADVANCE TO:

HayMatick Meetings & Events
#202-5525 West Bouelvard
Vancouver, BC  V6M 3W6

Registration fee refunds, full or partial, will not be issued within 30 business days of conference.