Attending ACT/AEC - Vancouver

We are pleased to have you join us for the Joint ACT Operations Committee, International Advisory Board, and National Advisory Board meeting on February 27th, 2024 in Vancouver.
I would also like to attend the ACT Canada pan-Canadian planning meeting to establish a single national distributive Research Ethics Board (REB) platform on February 28th, 2024.*

YesNo
Please complete this form and click Submit.
* indicates a required field

Full Name - Enter your name as shown on your government issued photo identification.
Title
First Name*
Middle Name
Surname 1*
Surname 2
Gender*
Birth Date*

MonthDayYear
Name Badge
Name as preferred on Badge
ACT Category*
Contact information
Mobile Phone*
Business Phone
Extension
Your Email*
Travel Information
Transportation*
City or Airport of Departure*
Preferred Airline
Frequent Flyer#
Arrival Date*

MonthDayYear
Preferred Arrival Time
Preferred Seating
Departure Date*

MonthDayYear
Preferred Departure Time
Accommodations
Do you require Hotel Accomodation?*
Accommodation will be provided at the Vancouver Marriott Pinnacle Hotel for the nights of February 26th, 27th, and 28th.

Additional nights will be available at your own expense.

Please contact Heming Group for details.
If YES, completion of dates below are REQUIRED.
Check in Date

MonthDayYear
Check out Date

MonthDayYear
Are you attending the ACT/AEC Welcome dinner on February 27th?*

YesNo
Are you attending the ACT/AEC off site dinner at Black and Blue Restaurant on February 28th?*

YesNo
Dietary Restrictions or Allergies
Additional Information
Should be Empty:

We are pleased to have you join us for the Joint ACT Operations Committee, International Advisory Board, and National Advisory Board meeting on February 27th, 2024 in Vancouver.

Accommodations