Event Registration
To register for the event please complete all questions.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Cellular Number
*
Format: (000)0000000.
Work Number
Format: (000)000000.
HPCNA number
*
Registration fees
*
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( X )
Specialist or GP
450.00 NAD
450.00
NAD
Nurses or Allied Health professional
300.00 NAD
300.00
NAD
Register
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