Back to Home

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 *

Are you a Fellow/Resident? *

Yes

Please list any special dietary needs.

CCOLD 2024 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 Chateau Lake Louise, Alberta

CCOLD has negotiated a discounted room rate of - $303/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 February 20th.

To book your accommodation directly with Fairmont Chateau Lake Louise click here

ADDITIONAL INFORMATION:

Friday & Saturday dinners are now sold out.

Will you attend the Friday evening dinner at the Fairmont Chateau Lake Louise?

Yes

Will you attend the Saturday evening dinner at the Fairmont Fairmont Chateau Lake Louise?

Yes

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

Yes

Will you be attending virtually? *

Yes

REGISTRATION FEES:

Registration fees collected by HayMatick on behalf of CCOLD.

Early Bird Registration until February 23rd, 2024
General Registration fee is $350.
Allied Health Care Professionals, Fellows/Residents is $150.

After February 23rd, 2024
General Registration fee is $450.
Allied Health Care Professionals, Fellows/Residents is $200.

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

PAYMENT INFORMATION:

TOTAL: $450.00

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