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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.

CMHCC 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

ADDITIONAL INFORMATION:

Will you be attending the Friday night Welcome Reception at the Omni King Edward Hotel on Friday, October 4? *

Yes

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

Yes

Are you a Fellow/Resident? *

Yes

REGISTRATION FEES: (Canadian Dollars)

Early Bird Rate offered until September 1, 2024:
Fee for physicians: $300
Fee for Allied Professionals (Nurses/Pharmacists/Fellows/Residents): $150

After September 1, 2024:
Fee for physicians: $400
Fee for Allied Professionals (Nurses/Pharmacists/Fellows/Residents): $200

Registration fees collected by HayMatick on behalf of CMHCC

PAYMENT INFORMATION:

TOTAL: $300.00

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