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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 *

Are you a Fellow/Resident? *

Yes

Please list any special dietary needs.

ACCOMMODATION:

Fairmont Pacific Rim | Vancouver British Columbia

Hotel guest rooms are available at $319 and $349 + taxes at the Fairmont Pacific Rim Hotel.

To book your room please click here.

Please book now as rooms sell out every year and we are not able to get additional rooms.

ADDITIONAL INFORMATION:

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

Yes

Will you be attending the Canadian Lung Cancer Conference Opening dinner taking place on Thursday, January 30th at the Fairmont Pacific Rim? *

Yes

Will you be attending the Canadian Lung Cancer Closing Dinner taking place on Friday, January 31st? *

Yes

Would you like to be notified of other upcoming education events? *

Yes

REGISTRATION FEES:

Early Bird Registration until December 30th, 2024:
Physician registration $400
Allied Health Prof., Residents and Fellows registration $250

After December 30th, 2024:
Physician registration $450
Allied Health Prof., Residents and Fellows registration $300

Registration fees collected by HayMatick on behalf of Canadian Lung Cancer Con

PAYMENT INFORMATION:

TOTAL: $400.00

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