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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?    

CCMDS AML 2019 shares a participant list with Platinum, Gold and Silver 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:

Fairmont Hotel Vancouver

CCMDS/AML has negotiated a discounted room rate of $299/night. Please book your room at the link below while rooms are still available.

To book accommodations, click here (new window).

Note: Negotiated conference room rates are available to rooms BOOKED BEFORE AUGUST 19th, 2019
ADDITIONAL INFORMATION:
Comments / Questions  
*If you have SPECIAL DIETARY NEEDS, please indicate your requirements
 

REGISTRATION FEES:

Early Bird Rate offered until July 15th 2019:
Fee for Physicians : $250
Fee for Allied Professionals (Nurses/Pharm): $100
Fee for Fellows, Residents: $100

After July 14th, 2019:
Fee for Physicians : $350
Fee for Allied Professionals (Nurses/Pharm): $125
Fee for Fellows, Residents: $125

Registration fees collected by HayMatick on behalf of CCMDS.
*Will you be attending the Welcome Reception “Beautiful British Columbia” on Friday night?   
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: $350

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.