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Allergy & Clinical Immunology Update 2019 (ME9292)

Sep 28, 2019 | 0800-1630
SFU Segal Building
500 Granville Street, Vancouver, BC V1C1W6

Personal Information is collected on this registration form pursuant to section 26 of the Freedom of Information and Protection of Privacy Act, RSBC 1996 c. 165.

Information is used for the purposes of facilitating this educational program and collecting aggregate statistics.

If you have any questions or concerns regarding this, please contact UBC CPD: [email protected]

If you require any previous receipts or certificates please contact us at [email protected].

Contact Information

*Required

Title

*First Name

*Last Name

Company

*I am a: (please choose from list below)

Please specify

*Are you a UBC Clinical Faculty Member?

*Address

*City

*Province/State

*Postal/Zip Code

*Country

*Phone Number

*Email

Special Requirements
(ie: dietary, mobility, etc.)

If you have dietary requirements, please indicate the severity:

High

Low - foods can be in the same room, but well labeled

n/a

Do you wish to be listed on the participant list?

Do you wish to be on our contact list for future programs?

Course Registration

Registration includes: course materials, breakfast, lunch, refreshments

*Please select:

Physician $275

Allied Health $100

Resident/Student (proof of status required on-site) $50

Subtotal:

Course Info

https://ubccpd.ca/course/allergy2019

Cancellations:
No refunds or transfers, unless you cancel in writing to [email protected] by August 18, 2019 for a $50.00 fee.

Payment Options

Do not hit the back button once you have completed the registration and made a payment.

Summary

Total (CAD):

Credit Card

You will be prompted to enter card details after submitting this registration.

If you are registering more than one delegate, please do not hit the back button once you have completed the first registration and made a payment; your registration will not be downloaded correctly into our system. You can return to the main registration page and register the second person.

Questions?
Please contact UBC CPD at 604.675.3777 or [email protected].

UBC CPD
Division of Continuing Professional Development
UBC Faculty of Medicine
ubccpd.ca | thischangedmypractice.com
@UBCCPD | Facebook

City Square, East Tower, Suite 200
555 W 12th Ave, Vancouver BC V5Z 3X7
T 604.675.3777 | F 604.675.3778 | [email protected]

Warning

Contact Information

Course Registration

Course Info

Payment Options

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