Winter Arrhythmia School 2009

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For information about registration of the Winter Arrhythmia School, please contact WinterArrhythmia@sunnybrook.ca

Registration Fee Information |

You will be sent a link to book your rooms at Westin Trillium House Blue Mountain, Collingwood Ontario upon successful registration.

Registration Type *

Standard (Physicians, Industry Participants)		$550
Fellows / Students / Allied Professionals (Nurse or Tech)		$350
Late Registration (For all participants after December 5, 2011)		$650

Contact Information

Name *

Prefix

First Name

Last Name

Hospital/University/Company Affiliation

Email*

Phone *

Fax

Address*

City

Province / State

Postal Code / Zip Code

Country

Additional Information

Arrival Date*
:

Departure Date*
:

Dietary Requirements

Vegetarian
Kosher
Halal

Number of Adults

Number of Children

Number of Extra Dinner Tickets Required (for Guests)

We encourage spouses and family to attend the Gala dinner on Saturday night. Tickets for adult guests dinner are $40 and children dinner are $20. One ticket is included in registration.

Guest Dietary Requirements

Vegetarian
Kosher
Halal

Billing Information

Attendees' meals (with the exception of lunch on arrival and departure days) are included. Guests are invited to meals, but will be required to pay a nominal fee.

Total Cost

This is the registration fee plus guests' meal tickets (if applicable)

Payment Method*
Credit Card (preferred)
Cheque
Other arrangements

* Mandatory field.