If you don't have your membership number at the time of registration, simply input "pending" so you don't miss out on registering for this great event!
Who do you work for? Name of the hospital or retail / community pharmacy.
Your primary role / title. This will appear on your name badge.
Please identify whose name the payment will be processed under. (Name on credit card).
Suite # 5837360 - 137 StreetSurreyBritish ColumbiaV3W 1A3