EmailMe Form - Health Care Event Planning Registration

Attendee Name *

First Last

Attendee Title

Organization

Department

Email *

Telephone *

### - ### - ####

Address (For Catered Meal Delivery) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Buy Tickets

CAWEE, CanSPEP or Fempire Builders Member - $89

Early Bird Registrant Fee - $99

Vendor Fee - $150

Preferred Vendor - $175

Student Fee - $40

Once submitted, you will be redirected to a secure PayPal gateway to pay via major credit card or PayPal account. Payment must be made through this form.