Please complete the following form and click "Submit Registration" at the bottom of the page.
Emergency Contact Phone*:
*All rates are quoted in Canadian $$ and include tax.
*Registration for non CHHA members includes a one-year membership to CHHA national.
**A student is defined as a holder of a student identification card from a recognized tertiary or secondary educational institution or international student card. Students must be studying full-time to quality for the discounted rate. A copy of your student card must be faxes or emailed to us following the submission of your web form. Without this ID, the full registration fee will be charged.
Assisted Listening Equipment Required?
By paying by credit card, I understand that my credit card statement will show this transaction as "C.H.H.A" and I will ensure that anyone who reviews the statement is aware of the transaction.
Please make your cheque payable to the "CHHA Conference" and mail to:
Requests for refunds must be received in writing before April 20, 2017 and will be subject to a cancellation fee of $50.00. No refunds will be given for cancellation after this date or for non-attendance.
If you have any questions about the Conference, please contact Chantal Coleman by e-mail email@example.com or firstname.lastname@example.org or by phone at 800-263-8068.
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