Primary Delegate DetailsRegistration PackagesAdditional Delegate DetailsContact Details First Name* Last Name* Title Company Email* Telephone Address Details Address Line 1* Address Line 2 City*Province or Region*--Select Country--AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'ivoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambia, TheGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and the McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle Of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Republic OfKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, The Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and The GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzania, United Republic OfThailandTimor-lesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country* Postal Code*Additional Information Priority Code (From Brochure or Company Letter) How You Found UsGoogleFacebookTwitterLinkedInNewsletterWord of MouthBrochureOther CommentsIMPORTANT: If you want to register more than 1 delegate, you must go to the next screen to enter the delegate information. Registration Options Before October 20, 2023 Before November 10, 2023 After November 10, 2023 Non-Fin'l Risk Mgmt $1150.00 + HST $1,225.00 + HST $1,299.00 + HST 2023 Insur. Acc't & Rep. $1,150.00 + HST $1,225.00 + HST $1,299.00 + HST Both Events $2,200.00 + HST $2,400.00 + HST $2,598.00 + HST Primary Delegate*Select an option Before October 20, 2023 - $1150.00 + 149.50 HST= ( $1299.50 ) Before November 10, 2023 - $1225.00 + 159.25 HST = ( $1384.25 ) After November 10, 2023 - $1299.00 + 168.87 HST = ( $1467.87 ) 2nd DelegateSelect an option Before October 20, 2023 - $1100.00 + 143.00 HST = ( $1243.00 ) Before November 10, 2023 - $1175.00 + 152.75 HST = $ ( $1327.75 ) After November 10, 2023 - $1249.00 + 162.37 HST = ( $1411.37 ) 3rd DelegateSelect an option Before October 20, 2023 - $1050.00 + 136.50 HST = ( $1186.50 ) Before November 10, 2023 - $1125.00 + 146.25 HST = ( $1271.25 ) After November 10, 2023 - $1199.00 + 155.87 HST = ( $1354.87 ) 4th DelegateSelect an option Before October 20, 2023 - $000.00 + 000.00 HST = ( $000.00 ) Before November 10, 2023 - $000.00 + 000.00 HST = ( $000.00 ) After November 10, 2023 - $000.00 + 000.00 HST = ( $000.00 ) 2nd Delegate Information (If Applicable) First Name Last Name Title Email3rd Delegate Information (If Applicable) First Name Last Name Title Email4th Delegate Information (If Applicable) First Name Last Name Title EmailSelect a payment method *
IMPORTANT: If you want to register more than 1 delegate, you must go to the next screen to enter the delegate information.