Healthcare Conferences Canada Inc.

3rd Annual Multidisciplinary Healthcare Conference
Culture, Spirituality & Ethics
in Critical Care, Chronic Care & Mental Health Care

June 17-18, 2010
St. Paul University, 223 Main Street,
Ottawa, ON, K1S 1C4

REGISTRATION FORM
(Register by mail, online, email, fax or phone)

To pay by credit card, complete the Registration Form and click the submit button.
Last Name:
First Name:
Address:
Street:
Suite#:
City:
Province:
Postal Code :
Institution/ Hospital Affiliation (optional):
Telephone	(e.g. 4161112222)
Fax:
Email:

Registration Fee:

	Pre Conference only (June 17): - $50.00
	Pre-Conference & Conference (June 17 & 18 ):
	Regular - $175.00
	Seniors & Students $160.00

	Conference only (June 18):
	Regular Fees: $ 145.00
	Students/ Seniors (65+): - $ 130.00

Registration fee after the deadline - $ 195.00 for all
(Registration Fee includes Conference package, taxes, breakfast, hot-lunch & refreshment breaks)

Credit card payments accepted online, otherwise by cheque/ bank drafts payable to:

Healthcare Conferences Canada Inc.

Mail your you registration forms & cheques to:
Calista Anne Mervis
Conference Coordinator
Healthcare Conferences Canada Inc.
10, Pinemore Crescent
Toronto, ON, M3A 1W6
Tel: 416 444 8455 Fax 416 391 5984
Email: info@careconferences.com
www.careconferences.com