Registration Form - CAGPO 2020

CAGPO ACMOO Annual Conference
September 25-26, 2020

If you are an exhibitor/sponsor, please do not register on this form. Another link has already been sent to you. For any questions, please contact Mr. Roch Mathieu-Poulin at rpoulin@agoraopus3.com.

*Greeting

Mr. Mrs. Ms. Dr. Prof.

*First name

*Last name

*Title

Department

*Organization

*Phone number

Fax

*Email

*Email confirmation

*Address 1

Address 2

*City

*Postal/Zip Code

*Country/Region

*Province/State

Billing address

As it appears on your credit card statement

Same as above

*Address 1

Address 2

*City

*Postal/Zip Code

*Country/Region

*Province/State

CONFERENCE ACTIVITIES

*I will attend CAGPO Annual General Meeting (members only)

Yes No

Conference Registration Fees	Early bird fees - until August 15	Late registration fees - after August 15
Members	$400	$500
Non-members	$525	$625
Nurses / Residents / Allied Health	$325	$375
One day only	$275	$275

Membership Fees
To benefit from the members registration rate, you must have renewed your membership for 2020. If you are uncertain of the status of your membership, please contact us at lsavage3@cancercare.mb.ca.

Please click HERE to renew your membership for 2020 or to become a member.

*After registration, your membership status will be verified and extra registration fees will be applied to your credit card if your annual membership is not valid.

*Please select your registration package for 2020 CAGPO Annual Conference

Member ($500)

Non-member ($625)

Nurses / Residents / Allied Health ($375)

One day only ($275)

Free registration (on invitation only)

If you are registering for one day only, please select the date

Friday, September 25

Saturday, September 26

Total

Please select your payment method:
(Cheque, Visa and MasterCard are accepted)
* If your total equal "$0", please select the option "Cheque"

*Card number

*Name on the card

*Expiration

*Card Security Code (CVC)

If payment is made by credit card, it will appear under AGORA COMMUNICATION on your credit card statement. A confirmation notice will follow shortly. If payment is made by cheque, an invoice will follow shortly with the pertinent information. Payment must be received in full upon reception of the invoice. All payments must be in Canadian dollars (CAD) and drawn from a Canadian bank.

CANCELLATION POLICY

Cancellations must be sent in writing by email at rpoulin@agoraopus3.com.

You may cancel your registration and receive a full refund, less a $150 administrative handling fee, any time prior to September 3, 2020. The refund will be processed after the conference. There will be no refund granted for any cancellation received from September 4th, 2020.

By clicking on "Submit", I declare having read, understood and accepted the cancellation policy.

Consent

By connecting to the platforms to access the 2020 CAGPO ANNUAL CONFERENCE, I consent to have my first name, last name, title and organization name listed in the participant directory and agree to share this information with exhibitors and the organization.

I also agree to receive emails regarding the use of the virtual platform and that my chat exchanges with the exhibitors will be forwarded to them after the event.

I agree