2026 Liver Conference Sponsor Registration Form

Contact Information

Required fields are marked with *

Title: *
First Name: *
Last Name: *
Organization: *
Address Line 1: *
Address Line 2:
City: *
Province/State: *	Please select a province... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon
Postal Code/Zip Code: *
Business Phone: (Please include area code) *
Fax: (Please include area code)
Email: *
Do you have dietary concerns?: *	Yes  No
Concern: *

Events

I will attend *

Welcome Dinner (Friday) *	Yes  No
Short Snapper Session (Saturday) *	Yes  No
Short Snapper Session (Sunday) *	Yes  No
Breakfast (Saturday) *	Yes  No
Scientific Sessions (Saturday) *	Yes  No
President's Gathering (Saturday) *	Yes  No
Meal Preference *	Beef  Chicken  Fish  Vegetarian
Breakfast (Sunday) *	Yes  No
Scientific Sessions (Sunday) *	Yes  No

Hotel Reservations

Note: Your room will be reserved, but you will be billed by the Hotel upon checkout.

We will require hotel accommodation *	Yes  No
Room Type *	Standard Room: $309.00 p/n (44 rooms remaining)  SOLD OUT! Premium Room: $309.00 p/n SOLD OUT! Dock Master's Room: $309.00 p/n SOLD OUT! Suite: $309.00 p/n Should you wish to be added to the Waitlist for a Dock Master or Suite, please email the OAG office.
Hotel Stay Dates *	Arrival Time: *
How many people are in your party? *	1 2 Other
Do you require a crib? *	Crib  No
Do you require an additional room? (At delegate's expense.) *	Yes  No
Do you require an interconnecting room? *	Yes  No
Rates for Additional Room *	Standard Room: $309.00 p/n (44 rooms remaining)  SOLD OUT! Premium Room: $309.00 p/n SOLD OUT! Dock Master's Room: $309.00 p/n SOLD OUT! Suite: $309.00 p/n Should you wish to be added to the Waitlist for a Dock Master or Suite, please email the OAG office.
Hotel Stay Dates *	Arrival Time: *

Policies

Photographs

The OAG, from time to time, will take photos of Conference delegates for our website, twitter page, blog or future promotional material. If you do not wish to have your photograph published, please check the box below *

Yes, you may publish my photograph on the OAG website, twitter page or blog. No, Please do not publish my photograph on the OAG website, twitter page or blog.