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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/
Clinic
 
*Address
*City
 
*State/Province
*Zip/Postal
 
*Country
*Telephone
 
*Email
*Specialty
Are you a Fellow, Resident, Student or Postdoctoral Student?    
Are you an Allied Health Professional? (nurse or pharmacists)    
Are you from Charbonneau Cancer Institute or the Department of Biochemistry and Molecular Biology, University of Calgary?    

We would like to share a list of POET participants with our sponsors that includes the participant's name, specialty and city. Please check the box below if you DO NOT wish to have your information included on this participant list: