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Register

Please contact HayMatick at 778-882-4389 or info@haymatick.com for any questions regarding registration

REGISTRANT INFORMATION:
(* = required field)

* Clinic
*First Name
 
*Last Name
*Institution/Hospital/
Clinic
 
*Address
*City
 
*State/Province
*Zip/Postal
 
*Country
*Telephone
 
Fax Number
*Email
  *Specialty
* Are you a Allied Health Professional?
(nurse/pharmacists)
   
Are you a Fellow/Resident?    

ACCOMMODATION:
Chateau Whistler, Whistler, BC
The Chateau Whistler has SOLD OUT. Please go to accommodation page for alternate accommodations.

Comments / Questions
ADDITIONAL INFORMATION:
*If you have SPECIAL DIETARY NEEDS,
please indicate your requirements
 

SHOW shares a SHOW participant list with Silver to Platinum 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:

PLEASE RSVP:

1. Will you be attending the Thursday night Welcome Reception taking place at the Chateau Whistler at 4:30 PM?
 

REGISTRATION FEES:

Early Bird Rate offered until December 14th, 2018:
    Fee: $250
    Fee for Allied Professionals (Nurses/Pharm): $200
    Fee for Fellows, Residents: Complimentary with a letter of endorsement from Program Director
    Please send letter to info@haymatick.com

After December 14th, 2018:
    Fee: $350
    Fee for Allied Professionals (Nurses/Pharm): $250
    Fee for Fellows, Residents: $200 with a letter of endorsement from Program Director
    Please send letter to info@haymatick.com

Registration fees collected by HayMatick on behalf of SHOW

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

Refunds, full or partial, will not be issued within 14 business days of conference.