Banquet Only - Annual Conference

Finding Our Identity: Belonging & Becoming

Saturday, November 7th - Banquet

Reception begins at 6 p.m.

Dinner at 7 p.m.

The Lord Elgin Hotel

100 Elgin Street, Ottawa, ON

Full Name

PrefixFirst NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

Please list any dietary restrictions you have

During conference activities, a videographer may be recording footage and/or a photographer may be taking casual photographs. These digital assets belong to Canadian Physicians for Life (CPL) and may be used by CPL for educational and promotional purposes, such as CPL publications and social media, and on the CPL website. Your registration confirms your permission to be videoed and/or photographed, and have your image/video included in these promotional assets.

My Products

Saturday Evening - Banquet$250.00 CAD

An evening shared with friends. Awarding of the Paul Adams award. Keynote address given by Daniel Gilman. Reception begins at 6 p.m. Dinner at 7 p.m.

Quantity

Enter coupon

Total $0.00 CAD

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year