13th Annual International Symposium on Liver & IBD Review Registration Form

Friday, January 17 - 19, 2020
Westin Trillium House Blue Mountain, Collingwood, Ontario.

Only Members of the Ontario Association of Gastroenterology (OAG) can register for this Symposium. If you are not a member you can join OAG here.

Please select your Registration Category






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CONTACT INFORMATION

Title:
First name:
Last name:
Company Name:
Business Address:
Suite:
City:
Province/State:
Postal Code/Zip Code:
Phone: (Please include area code)
Fax (Please include area code)
Email:
Do you have dietary concerns?:  

Events

Welcome Dinner (Friday)  
Breakfast (Saturday)  
Scientific Session (Saturday)  
President's Party (Saturday)  
Breakfast (Sunday)  
Scientific Session (Sunday)  

Hotel Reservations

Note: For our members, the OAG will cover the cost of a Deluxe Room for a maximum of two nights. Members are responsible for any additional room costs and incidentals. All rooms are non-smoking.

We will require hotel accommodation    

Companions/Spouses/Guests/Young Adult (Ages 13-18)

Guest's Title
Guest's First Name
Guest's Last Name
Guest's Email

(Required for Mobile App and future Companion Program information)

Additional Registrant is:
Does your guest have dietary concerns?  
Welcome Dinner Only ($100.00)
Closing Dinner Only ($110.00)
Entire Event ($325.00)

Children

Child's First Name
Child's Last Name
Age
Does your child have dietary concerns?  
Entire Event

Policies

Photographs

The OAG, from time to time, will take photos of Conference delegates for our website, twitter page, blog or future promotional material.


Cancellation Policy & No Show Policy

If you register for OAG events and do not attend, you will be charged a fee. To avoid a penalty, cancellations MUST be submitted to the OAG office, in writing, at least seven (7) business days prior to the event. If you register and do not show, a fee of $1000 will be charged to your credit card. Refunds will be issued for paid registrations that are not cancelled by the published deadline. If you made a hotel reservation through the OAG room block, the cancellation fee will also include the cost of the published hotel room rate. For this reason, all registered delegates are required to supply their credit card information at the time of registration. Your card will not be charged unless you fail to attend and have not cancelled your registration as detailed above. The OAG website utilizes a Secure Socket Layer (SSL), which encrypts all information provided by the user.

 

OAG Privacy Policy

The OAG produces a Mobile App, which includes the following business information of registered GI delegates: full name, address, telephone, fax and email address. Conference sponsors may use this information to contact you. This information will not be used for any other purpose by the OAG.


Subtotal:
Tax (13% HST - HST # 858140973 RT0001):
Total Payable:

PAYMENT INFORMATION

Name on Card:
Card Number: *
CVC: *
Expiration (MM/YYYY): * /

 

 


© 2020 Ontario Association of Gastroenterology
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