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17th Annual Pharmacy Technician Conference Registration Form

Program Details can be found by clicking below:

17th Annual Pharmacy Technician Conference PROGRAM

REGISTRATION FORM BELOW:

First Name(*)

Please type your first name.

Last Name(*)

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Gender(*)

Select an option ...Cis femaleCis maleNon binaryTrans femaleTrans maleGender questioningOtherPrefer not to answer

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E-mail(*)

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PTSBC Membership Number

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Employment Organization(*)

Please enter the name of the organization you work with.

Job Title / Role(*)

Please enter your current position with the organization.

Employment Sector(*)

Select ...HospitalCommunityEducationPharmaceutical Industry RepresentativeOther

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Dietary Restrictions(*)

Select an option ...NoneGluten Free / CeliacVegetarianNuts AllergyDairy FreeLactose IntoleranceVeganShellfish (clams, oysters, scallops, mussels etc)

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Registration Fees(*)

Select an option ...PTSBC Membership renewal plus Full Registration - 290.00 CADPTSBC Member - Full Registration - 230.00 CADNon-PTSBC Member - Full Registration - 330.00 CADPTSBC Member - Friday Attendance ONLY - 150.00 CADNon-PTSBC Member - Friday Attendance ONLY - 210.00 CADPTSBC Member - Saturday Attendance ONLY - 150.00 CADNon-PTSBC Member - Saturday Attendance ONLY - 210.00 CADComplimentary Registration - Society AffiliateComplimentary Registration - Student Grant RecipientComplimentary Registration - FK Grant RecipientCommittee MemberSpeakerSponsor - Oct 13th attendanceSponsor - Oct 13th and 14th attendance

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50-50 Draw Tickets

Not Interested in winning the 50-50 draw1 ticket for 50/50 draw - 5.00 CAD3 tickets for 50/50 draw - 10.00 CAD10 tickets for 50/50 draw - 25.00 CAD25 tickets for 50/50 draw - 50.00 CAD

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Name of Payee(*)

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Select Payment Method

PayPal or Credit CardOffline Payment - Send Cheque to PTSBC

Total

0.00 CAD

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Contact Details

Contact Us

Pharmacy Technician Society of British Columbia

Address

Suite # 583
7360 - 137 Street
Surrey
British Columbia
V3W 1A3

Email

info@ptsbc.org

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