Registration form

Date: Saturday, September 23, 2017 - 9:00am - 4:30pm (registration from 8:30am)
Location: Comfort Inn and Suites, 3020 Blanshard Street, Victoria BC

Cancellation: Cancel by 5:00pm on Friday, September 8, 2017 - after this date your co-op will be charged the full fee even if you cannot attend - we will however accept an alternate person from your co-op to take your place.

Non-members: registration for non-members is by email: education@chf.bc.ca  

Privacy / Security: This registration form is powered by SurveyMonkey. Click here for their privacy policy. Your information will only be used by CHF BC to communicate with you about this event. View CHF BC's privacy statement.

Questions? Please contact Debbie Van Kuyk by email education@chf.bc.ca or by phone 1-866-879-5111 ext. 135

* Required information

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* 1. First name:

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* 2. Last name:

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* 3. Phone number:

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* 4. Email address (we will confirm your registration by email)

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* 5. Special requirements - mobility, audio, visual needs? Please indicate below.

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* 6. Lunch will be provided - please indicate if you require a vegetarian option.

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* 7. Co-op name / organization:

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* 8. Authorization: has your co-op or organization agreed to pay your registration fee?

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* 9. If your co-op or organization has agreed to pay, please enter the name of the authorizing person below (i.e. director at your co-op). If you are paying for yourself, enter "self" in this box.

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* 10. If you answered "self" above (your co-op or organization has NOT agreed to pay for your registration), please enter your mailing address below. We will invoice you directly and we will require payment before the event.

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* 11. Please select your registration option:

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* 12. MORNING WORKSHOPS (9:30am - 12:30pm)

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* 13. AFTERNOON WORKSHOPS (2:00pm - 4:30pm)

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