CHES

2021 Virtual Conference

41st Annual Conference of the Canadian Healthcare Engineering Society

September 28-29, 2021

Enriching Patient Experience by Optimizing the Environment

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)

Conference Registration Fees

Registration Type	Price	Notes
Individual	$195
Group of 5	$750
Group of 10	$1,250
Sponsor	$0	Must provide a discount code to be accepted.

Selected Package *

Group Registration #1

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #2

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #3

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #4

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #5

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #6

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #7

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #8

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #9

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

Group Registration #10

Title

First Name

Last Name

Position

Telephone

CHES Member

Member Number

I agree that my registration information provided can be shared to permit delegate access to the Virtual Platform *

Note: Delegates must opt in so CHES can share their contact information with the provider.

Discount Code

Actions

Cancellation Policy: Cancellation of registration must be received in writing at the Conference Office by August 31, 2021 for registration fees to be refunded. A processing fee of $75 will be charged on all refunds. No refunds after August 31, 2021.