CIPHI ON 2026 Conference

DELEGATE

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 HST.

_______

IMPORTANT NOTE:

To qualify for the member rate, you must hold an active membership for the year 2026.
If you have purchased the member ticket but your membership is not current, we will charge the price difference to your credit card within 48 business hours.

*

REGULAR/HONORARY/AFFILIATE MEMBER

(EARLY BIRD) Full Regular Member Ticket

Early Bird ends on September 16, 2026. Full registration includes one ticket to all social events.

$650.00CAD Quantity
Item subtotal:$0.00CAD

Daily Regular Member Ticket

This ticket is valid for a single day and does not include a social ticket on the day of your preference. You can purchase social tickets below.

$350.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Virtual Regular Member Ticket

Early Bird ends on September 16, 2026. Registration includes all three (3) virtual conference days.

$350.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Group Virtual Regular Member Ticket

Early Bird ends on September 16, 2026. A minimum of 3 current member delegates of any type need to be registered to get this rate. This rate is for 1 (one) person, not 3 (three people). Please update the quantity to the actual number of people attending in your group.

$100.00CAD Quantity
Item subtotal:$0.00CAD

STUDENT/RETIRED/LIFE MEMBER

(EARLY BIRD) Full Student/Retired Member Ticket

Early Bird ends on September 16, 2026. Full registration includes one ticket to all social events.

$375.00CAD Quantity
Item subtotal:$0.00CAD

Daily Student/Retired Member Ticket

This ticket is valid for a single day and does not include a social ticket on the day of your preference. You can purchase social tickets below.

$225.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Virtual Student/Retired Member Ticket

Early Bird ends on September 16, 2026. Registration includes all three (3) virtual conference days.

$175.00CAD Quantity
Item subtotal:$0.00CAD

NON-MEMBER

(EARLY BIRD) Full Non-Member Ticket

Early Bird ends on September 16, 2026. Full registration includes one ticket to all social events.

$750.00CAD Quantity
Item subtotal:$0.00CAD

Daily Non-Member Ticket

This ticket is valid for a single day and does not include a social ticket on the day of your preference. You can purchase social tickets below.

$425.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Virtual Non-Member Ticket

Early Bird ends on September 16, 2026. Registration includes all three (3) virtual conference days.

$450.00CAD Quantity
Item subtotal:$0.00CAD

(EARLY BIRD) Group Virtual Non-Member Ticket

Early Bird ends on September 16, 2026. A minimum of 3 delegates need to be registered to get this rate. The rate is for 1 (one) person, not 3 (three people). Please update the quantity to the actual number of people attending in your group.

$141.67CAD 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.

Tuesday Welcome Reception Ticket

$25.00CAD Quantity
Item subtotal:$0.00CAD

Wednesday Evening Social Ticket

$75.00CAD Quantity
Item subtotal:$0.00CAD

Thursday President's Gala 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 events@ciphi.on.ca. A refund will be granted if cancellation is requested by September 25, 2026, subject to a $75 administration fee deducted from each cancellation request. No refunds will be granted after September 25, 2026.

Substitutions will be granted if requested by October 2, 2026, subject to a $50 administration fee charged for each substitution request. No substitutions will be granted after October 2, 2026.

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

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, kindly insert "N/A" under Certificate/Student #.

Enter your Attendee Info:*

Notes

*

By clicking this box, I confirm that the information I have provided is accurate and up-to-date. I acknowledge that any errors in the information I have entered above are not the responsibility of CIPHI Ontario.

WHERE TO STAY

Secure the discounted 2026 Conference hotel rate from $255+13% GST per night for single or double occupancy.

To reserve, click here or call 1-800-445-8667 and mention the code COA along with your intended dates to secure the group rate. Any cancellations must be made at least 72 hours prior to arrival to avoid charges.

Book by Tuesday, September 22, 2026, or until our room block is filled.

Parking Information
**Please Note: Parking is NOT INCLUDED in the Conference hotel rate above. CIPHI has secured discounted parking rates for Conference Attendees:

$25 per night for overnight guests (includes in-and-out privileges; vehicle registration required at check-in
$10 flat rate for guests attending the dinner only (special rate applies when parking payment is made at the hotel's front desk)

DoubleTree by Hilton Toronto Downtown
108 Chestnut Street
Toronto, Ontario M5G 1R3
+1 416-977-5000

Do you have any questions or need any assistance?

Please email events@ciphi.on.ca or visit our website here.

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

events@ciphi.on.ca | www.ciphiontarioevents.ca