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Register

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

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

REGISTRANT INFORMATION:
(* = required field)

*
*First Name
 
*Last Name
* Institution / Hospital /  
Company
 
*Address
*City
 
*State/Province
*Zip/Postal
 
*Country
*Telephone
 
*Email
*Specialty  
* Are you an Allied Health Professional?
(Nurse/Pharmacists)
   
*Are you a Fellow/Resident?    
*Are you a Lab Technician?    

CCITP 2019 shares a participant list with Platinum and Gold sponsors that includes all contact information. Please check the box below if you DO NOT wish to have your information included on this participant list:

ACCOMMODATION:

InterContinental Yorkville Toronto

The Room block is now closed.
To book a room at the InterContinental Yorkville, please call Claudia Cole at 416-324-5884 or email Claudia at claudia.cole@ihg.com. Claudia will respond Mon to Fri, 8:30 am – 5 :00 pm EST.

ADDITIONAL INFORMATION:
Comments / Questions  
*If you have SPECIAL DIETARY NEEDS, please indicate your requirements
 

REGISTRATION FEES:

Early Bird Rate offered until September 25th 2019:
Fee for Physicians: $200
Fee for Allied Professionals (Nurses/Pharm), Fellows, Residents, Lab Technicians: $50

After September 25th, 2019:
Fee for Physicians: $300
Fee for Allied Professionals (Nurses/Pharm), Fellows, Residents, Lab Technicians: $50

Registration fees collected by HayMatick on behalf of CCITP.
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: $300

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

When you have registered an automated receipt of registration and confirmation of hotel booking will be emailed to you. This is your receipt for registration.

Refunds, full or partial, will not be issued within 14 business days of conference.