2016 ON Spring Conference Registration Page

2016 ON Spring Conference

Location

Canadian Healthcare Engineering Society Ontario Chapter
ON Spring Conference
Bingemans Conference Centre, Kitchener ON
May 29 - 31, 2016

Delegate Registration Form

Title *

First Name *

Surname *

Position

Institution *

Mailing Address *

City *

Province *

Postal Code *

Country

Telephone *

Fax

Email *

If you are a CHES Member please provide your member number

Dietary Restrictions

Attendance Package

Selected Package *

Include my details in Delegate List *

Companion

Companion Program Tickets ($84.75/ticket before May 1st, $96.05 after May 1st)

Second Delegate

Will there be a second delegate?

Additional Tickets

Great CHES Golf Game Tickets ($113/person)

Extra Banquet tickets ($101.70/ticket)

Extra Lunch / Breakfast tickets ($45.20/ticket)

Attendance

# Attending Opening Reception

# Attending Banquet

Actions