REGISTRATION 

Registration Fee:
Physicians - $1,400    
Residents/Allied Health – $950

Registration Deadline: April 12, 2019
Limited to 20 delegates

For additional EGLS information go to:
http://www.echoguidedlifesupport.com

1. ONLINE PAYMENT:
http://tinyurl.com/EGLSBrampton Insert account ED000101/02 (link works best on desktop)
or
https://www.williamoslerhs.ca
Go to Pay Your Bills Online
Insert account ED000101/02

Cheques Accepted:
Make payable to BCH Emergency Department Education Fund
Attention: Heather Hosken, MSO, Brampton Civic Hospital, 2100 Bovaird Drive East, Brampton, L7R 3J7
heather.hosken@williamoslerhs.ca   905-494-2120 x58688                         

2. COMPLETE REGISTRATION INFORMATION BELOW

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* 1. Form of Payment

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* 2. Online Confirmation #

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* 3. Amount Paid

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* 4. Name

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* 5. Cell Phone #

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* 6. Email

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