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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:

Dr.

Mr.

Mrs.

Ms.

First Name *

Last Name *

Email Address *

Telephone *

Institution/Hospital/Clinic/Other *

Please use the address that your credit card is associated with or registration payment will not process.

Address *

City *

Province/State *

Postal/Zip Code *

Country *

Specialty *

Please list any special dietary needs.

CCMDS | AML shares a participant list with Platinum sponsors that includes the participant's name, contact info, specialty and city. Please check the box below if you DO NOT wish to have your information included on this participant list:

I DO NOT CONSENT to being on the participant list

ACCOMMODATION:

Fairmont Palliser, Calgary, Alberta

CCMDS has negotiated a discounted room rate of - $289/night +tax. Please book your room at the link below while rooms are still available.
The conference rate is available until rooms sell out or August 18^th, 2024. Please book before this date.

To book your accommodation directly with Fairmont Palliser click here

ADDITIONAL INFORMATION:

Will you attend the CCMDS/AML Welcome Reception being held at the Fairmont Palliser on Fri Sept 20 at 5:15 pm *

Yes

Are you an Allied Health Professional? (nurse or pharmacist) *

Yes

Are you a Fellow/Resident? *

Yes

Will you be attending virtually? *

Yes

REGISTRATION FEES:

Registration fees collected by HayMatick on behalf of CCMDS/AML.

Early Bird Registration until August 1, 2024
General Registration fee is $350.
Allied Health Care Professionals, Fellows/Residents is $150.

After August 1, 2024
General Registration fee is $450.
Allied Health Care Professionals, Fellows/Residents is $200.

These fees cover the conference registration, Friday reception/dinner for the delegates attending the conference.

PAYMENT INFORMATION:

TOTAL: $350.00

Payment Method

Credit Card

Cheque

PAYMENT BY Credit Card (VISA, MasterCard or American Express):

We are using SSL (Secured Socket Layer) encryption technology to protect your credit card information during transmission.

VISA

MasterCard

American Express

Name on card * Full name as displayed on card

Credit card number * Numbers only - no spaces

Expiration *

CVV * 3-4 digit code

PAYMENT BY Cheque

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

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