CHES

2017 National Conference

37th Annual Conference of the Canadian Healthcare Engineering Society

September 17-19, 2017

Scotiabank Convention Centre

"Quality Healthcare by Design: Putting People First"

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 (no spaces, special characters or hyphens)

Please indicate your shirt size *

Conference Registration Fees

Registration Type	On or Before July 31st	After July 31st
Member Full Delegate ¹	$415	$485
Non-Member Full Delegate ¹	$495	$565
Retired Delegate ¹	$250	$275
Special Offer Delegate ²	$480	$550
One Day Delegate Monday ³	$215	$250
One Day Delegate Tuesday ³	$215	$250
Student ⁴	$25	$30

Selected Package *

Discount Code

A list of Registered Delegates will be provided to CHES National Conference Vendors. *

Dietary Restrictions (Enter 'none' if not applicable) *

Additional Tickets

Additional Ticket Fees	On or Before July 31st	After July 31st
Companion Program ⁵	$186.45	$197.75
Extra Banquet Tickets	$107.35	$118.65
The Great CHES Golf Game (includes cart)	$113.00	$124.30

Companion Program Tickets

Great CHES Golf Game Tickets

Extra Banquet tickets

Attendance

Opening Reception *

Banquet *

Actions

¹ Includes Opening Reception, Banquet, entry to all sessions and trade show, 2 lunches, 2 breakfasts

² Includes Opening Reception, Banquet, entry to all sessions and trade show, 2 lunches, 2 breakfasts, CHES membership for balance of the current membership year.

³ Includes entry to sessions and trade show that day, 1 lunch, 1 breakfast. Does not include Social Events.

⁴ Includes Keynote address, entry to all session and trade show, 2 lunches, 2 breakfasts, CHES membership for balance of the current membership year.

⁵ Includes Opening Reception, Banquet, 2 breakfasts, Keynote Address, Monday Tour

Cancellation Policy: Cancellation of registration must be received in writing at the Conference Office by August 31, 2017 for registration fees to be refunded. A processing fee of $50 will be charged on all refunds. No refunds after August 31, 2017.