About the Symposium
Program
Keynote Speakers
Friday Night Public Lecture and Reception
Location and Accommodations
Registration
Sponsors and Supporters

Registration Form
* are mandatory fields

To view information on the registration fee refund policy, click here

GENERAL INFORMATION
Last Name:*
First Name:*
Institutional Affiliation:*
Mailing Address 1:*
Mailing Address 2:
City:*
Province:
Postal Code:*
Country:*
Telephone Number:
Email:*
Fax:
Membership type (indicate all memberships that apply)::*
IN-CAM Member
HomeoNet Member
PedCAM Member
Not a Member

Please note: membership for all 3 networks is free
Registrant Type (choose your primary role):*
Researcher
Health care practitioner, specify: 
Manager
Policy Maker
Funder
Educator
Post-doctoral fellow
Student
Other, specify: 
REGISTRATION*
The early bird registration fees currently listed are available until October 15, 2010.

The registration fees will increase by over 50% after October 15, 2010, so register today!.

Did you know - membership to any of the three networks is free!

Become a member and pay reduced registration fees for the Symposium
Become an IN-CAM member
Become a HomeoNet member
Become a PedCAM member

EARLY BIRD (to October 15, 2010)
Registration Type Member Non-Member
Full Symposium
IN-CAM, HomeoNet & PedCAM
One Day – Saturday only
IN-CAM, HomeoNet & PedCAM
One Day – Sunday only
IN-CAM, HomeoNet & PedCAM
Additional:    
3rd Annual HomeoNet Forum - Pre-Symposium Event
Your TOTAL Registration Fee
 $0.00
(*registration fees include BC HST)
The 3rd Annual HomeoNet Forum - Pre-symposium Event fee includes: all scheduled events for Friday, November 19th including the public lecture and reception.

All other registration fees include: the public lecture and reception on Friday, November 19th, all meals and nutrition breaks on the day(s) for which you have registered, a symposium program, and a reception on Saturday, November 20th.

Will you attend the Friday Evening Public Lecture and Reception on Friday, November 19th?: *
Yes
No
ADDITIONAL INFORMATION
Do you give your permission to have your name, affiliation and email address published in the symposium program?: *
Yes
No

Once you click on the "Register" button below, you will be automatically re-directed to PayPal to complete your IN-CAM Research Symposium registration by paying the applicable registration fees.

If you are having problems accessing the PayPal webpage to pay your registration fee, contact our Symposium Coordinators: Natasha Kachan or Ania Kania.

19 Aug 10