Registration Form

Contact Information

Prefix :

First Name*:

Last Name*:

Hospital / Institution :

Position and/or Title*:

Business Address*:

Street Address*


City*	Province / Territory / State

Postal/ZIP Code*	Country*

Email*:

Email (verify)*:

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Tel. Number :

Registration Options
Conference Date: November 21, 2023

- Morning in-person Leadership Program: (CAD) $500.00 plus tax
(selected candidates only);

- Afternoon Virtual Event: (CAD) $450.00 plus tax;

- Networking Dinner: (CAD) $175.00 plus tax
(selection of this option is possible only until 2023/11/13);

All delegates are expected to settle outstanding payments no later than November 17, 2023.

An email will be sent to all PAID registrants at least one business day prior to the webcast with all necessary details and links.

Cancellation Policy: No cancellations. Registrations may be transferred to another person at no cost. If this is necessary, please contact us to register such change: SREMI.

SREMI reserves the right to cancel or reschedule the event.

Select all that apply:

Morning in-person Leadership Program (selected candidates only)
Afternoon Virtual Event
Networking Dinner (selection of this option is possible only until 2023/11/13)
Speaker
Working at the Conference

Submit (or Update) your selections to access the payment section appended at the bottom of the form.

Comments:

To contact the organizers of the event please email: EDAC Conference.

https://www.sremi.ca/edac