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Register

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

CONTACT CHARMAINE@HAYMATICK.COM IF YOU HAVE ANY QUESTIONS.

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.

POET 2023 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:

Le Germain Hotel Calgary, 899 Centre St S, Calgary, AB T2G 1B8

Special Negotiated rate of $209/night (+tax)

Booking link: https://reservations.germainhotels.com/73218?groupID=3830849&hotelID=73218

ADDITIONAL INFORMATION:

Will you be attending the POET Welcome Dinner taking place on Thursday October 12th at the Bow Tower? *

Yes

Are you a Fellow, Resident, Student or Postdoctoral Student? *

Yes

Are you from Charbonneau Cancer Institute or the Department of Biochemistry and Molecular Biology, University of Calgary? *

Yes

Will you be attending virtually?

Yes

REGISTRATION FEES:

Early Bird Registration until September 11, 2023

General Registration: $250

Virtual Registration: $250

Charbonneau Cancer Institute or the Department of Biochemistry and Molecular Biology, University of Calgary: $150

Nurses, Pharmacists, Fellow, Resident, Student, or Postdoctoral Student Fellows and Residents: $100

After September 11, 2023

General Registration: $300

Virtual Registration: $275

Charbonneau Cancer Institute or the Department of Biochemistry and Molecular Biology, University of Calgary: $200

Nurses, Pharmacists, Fellow, Resident, Student or Postdoctoral Student Fellows and Residents: $150

Additional sponsor registration: $2500

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