90th CIPHI National AEC (2026)

REGISTRATION

Are you registering for yourself or for someone else?*

FOR MYSELF (only yourself is attending)FOR SOMEONE ELSE (other people in your group are attending)BOTH (you and other people in your group are attending)

Full Name*

First Name, Last Name

E-mail*

example@example.com

Phone Number*

Format: (000) 000-0000.

Employer's Name*

Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

How many people are attending in total?*

Both in-person and virtual

!! Please enter all attendee information in the "Attendee List", section at the bottom of the form.

!! Please enter all attendee information, including yourself, in the "Attendee List" section at the bottom of the form.

!! Please re-enter your information in the "Attendee List" section at the bottom of the form.

TICKET TYPES

Prices listed are excluding GST.

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IMPORTANT NOTE:
To be eligible for the member rate, your membership must be active for the year 2026. If you've bought a member ticket but you don't have a valid membership, we'll charge the price difference to your credit card within 48 business hours.

REGULAR/HONORARY/AFFILIATE INDIVIDUAL MEMBER

(EARLY BIRD) Full Regular Member Ticket

Early Bird offer ends June 29, 2026. Full registration includes access to all social events. Please indicate your attendance at social events in the attendee list below.

$650.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Virtual Regular Member Ticket

Early Bird offer ends June 29, 2026.

$375.00CAD Quantity
Item subtotal:$0.00CAD

STUDENT/RETIRED MEMBER

(EARLY BIRD) Full Student/Retired Member Ticket

Early Bird offer ends June 29, 2026. Full registration includes access to all social events. Please indicate your attendance at social events in the attendee list below.

$475.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Virtual Student/Retired Member Ticket

Early Bird offer ends June 29, 2026.

$375.00CAD Quantity
Item subtotal:$0.00CAD

NON-MEMBER

(EARLY BIRD) Full Non-Member Ticket

Early Bird offer ends June 29, 2026. Full registration includes access to all social events. Please indicate your attendance at social events in the attendee list below.

$750.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Virtual Non-Member Ticket

Early Bird offer ends June 29, 2026.

$450.00CAD Quantity
Item subtotal:$0.00CAD

(ADD-ON) EXTRA SOCIAL TICKETS - For those who have already purchased a Full In-Person ticket above, the additional social tickets below are already included in your package.

SUNDAY Night Welcome Reception Ticket

$25.00CAD Quantity
Item subtotal:$0.00CAD

MONDAY Night Social Ticket

$75.00CAD Quantity
Item subtotal:$0.00CAD

TUESDAY Night President's Banquet Ticket

$100.00CAD Quantity
Item subtotal:$0.00CAD

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

CANCELLATION & SUBSTITUTION: All cancellation and substitution requests must be submitted in writing by email to registration@ciphi.ca. A refund will be granted if cancellation is requested by July 29, 2026, less a $99 processing fee per cancellation request. Cancellation requests received between July 29 - August 8, 2026 will forfeit 50% of the total fee, less a $99 processing fee per cancellation request. No refunds will be granted after August 8, 2026. Substitutions within the same membership category will be granted if requested by August 8, 2026, subject to a $75 administration fee charged for each substitution request. No substitutions will be granted after August 8, 2026.

If you're unable to make a payment via credit card, please reach out to us at: registration@ciphi.ca and we will be able to assist you further.

ATTENDEE LIST

Please provide the details of all attendees below, including yours if you intend to participate.

If you're registering on behalf of someone else, kindly exclude your own information.

For attendees who are undecided, please use "TBD" for all fields.

If you're not a member, insert "N/A" under Certificate/Student #, and specify your province under Branch.

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Notes

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By selecting this box, I certify that the information I've supplied is accurate and current. I understand that any inaccuracies in the data I've provided are my own responsibility and not that of CIPHI.

WHERE TO STAY

Secure the discounted 2026 Conference rate from $243+15 % tax per night for single or double occupancy.

Book by Friday, July 17, 2026, or until our room block is filled.

To reserve, click here and follow the prompts to enter your booking details.

Delta Hotel & COnference Center - St. John's, Newfoundland

120 New Gower Street
St. John’s, NL
A1 C 6K4

Do you have any questions or need any assistance?

Please email registration@ciphi.ca or call +1 888-245-8180

720 - 999 West Broadway, Vancouver, BC V5Z 1K5

+1 888-245-8180

registration@ciphi.ca | www.ciphi.ca