2023 Conference Registration

REGISTRATION FORM

2023 Maritime Chapter Spring Conference
April 30- May 2, 2023
Delta Beauséjour Hotel
750 Main Street
Moncton NB E1C1N6

Theme: Maximizing the patient experience through the physical environment

CHES Membership #:
Title:
First Name of Person Attending*
Last Name of Person Attending:*
Company/Affiliation:*
Address:*
Phone #:*
City:
Province:
Postal Code:
E-mail*
Please choose the appropriate Registration Package:

*the Member Registration with CHES Annual Membership fee of $357.00 includes 15% HST on the membership fee portion:

$150.00Maritime Conference Registration
$180.00CHES National Membership including Maritime Chapter fee
$27.00HST @ 15% on $180.00 national fee
$357.00Total

CHES HST Business Number: 118833193RT0001

Additional Dinner Tickets:
Additional Monday Meal (Breakfast/Lunch) Tickets:
Dietary Restrictions.
Specific Dietary Restrictions:
T-Shirt: Please indicate your t-shirt size below*
Total:
Word Verification: