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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)

*
*Last Name
 
*First Name
*Address
 
*Institution/Hospital/
Clinic
*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:
Please note: The Chateau Whistler has now sold out on Friday Feb 3 and Saturday Feb 4. If you would like to book rooms for Feb 1 or 2nd. Please call 1-800-606-8244 and identify yourself as a SHOW DELEGATE or click here.

ALTERNATIVLY: rooms at Hilton Whistler, Whistler, BC
Rooms have been secured at the Hilton Whistler at an excellent conference rate of $330/ night and rooms are available all nights.

To see the hotel's website, click here.

Guests calling in to the Hotel's Reservations Department should specify SHOW Haymatick when reserving to access negotiated rates.

Guests can contact the Hotel locally at (604) 932-1982, or by email at HOwen-Mold@hiltonwhistler.com. There is a two night minimum stay. Limited rooms available so please book now.

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 Welcoming Reception at the Fairmont Chateau on Thursday night?   

REGISTRATION FEES:

Please select which day(s) you will be attending:

Early Bird Rate offered until December 17th, 2016:
    Fee: $250
    Fee for Allied Professionals (Nurses/Pharm): $200
    Fee for Fellows, Residents: Complimentary with a letter of endorsement from Program Director

After December 17th, 2016:
    Fee: $350
    Fee for Allied Professionals (Nurses/Pharm): $250
    Fee for Fellows, Residents: $200 with a letter of endorsement from Program Director

Fee: $150
Fee for Allied Professionals (Nurses/Pharm): $100
Fee for Fellows, Residents: Complimentary with letter of endorsement from Program Director

Please select which day:



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:
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.