2019 AGM Registration Form (Non-members)

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Member Registration

2019 Annual General Meeting Registration Form
Non-Members

Wednesday, June 5, 2019
Sir John A. Macdonald Building
144 Wellington Street, Ottawa ON

    Salutation (required)

    First Name (required)

    Last Name (required)

    Title (required)

    Your Organization (required)

    Your Email (required)

    Your Phone (required)

    10:00 am - 11:50 am: Panel Presentation — Achieving Policy Impact through Collaborative Advocacy (Research Canada’s Members, Supporters and Partners) (required)

    12:00 pm - 1:20 pm: Parliamentary Health Research Caucus Luncheon with Parliamentarians - Rare Disease and Orphan Drug Research in Canada — Hosted by Mr. Lloyd Longfield, MP (Guelph), Chair of the Parliamentary Health Research Caucus, Co-hosted by Vice-Chairs, Ms. Marilyn Gladu, MP (Sarnia—Lambton), Ms. Carol Hughes, MP (Algoma—Manitoulin—Kapuskasing) and Senate Representative, The Honourable Judith Seidman (Research Canada Members, Supporters and Partners) (required)

    Are you vegetarian? (required)

    Do you have any food allergies or special dietary needs? (please specify):

    Do you have any other special needs (please specify):

    A block of rooms has been set aside at ARC The Hotel Ottawa for your convenience at a special rate of $239.00 + tax. We encourage you to book your room as soon as possible, the cut-off date is May 3, 2019. After that we cannot guarantee that rooms or the rate will be available

    Reservations can be made by calling the Hotel directly at (613) 238-2888 Ext 0.
    Please identify yourself as being with our group: Research Canada.
    The group code for making reservations is “RECJ”    .

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