OSCC AGM Registration

Group Photo Of Professional Colleagues Working Together In Clinical Analysis Laboratory

2024 OSCC Annual General Meeting Registration Form

Registrant Details

First Name(Required)

Last Name(Required)

Email(Required)

Company/Organization(Required)

Billing Address(Required)

Street Address Address Line 2 City Province / State Postal Code / ZIP Country

Work Phone

Mobile Phone

Additional Details

Please List if You Have Any Food Allergies or Dietary Restrictions

Please List if Your Dinner Guest Has Any Food Allergies or Dietary Restrictions

Emergency Contact (Name, Email and Phone [Day/Night/Mobile])(Required)

Registration Fees

Please enter the quantity of each type of ticket required

OSCC Members

Price:

Quantity

Please enter a number greater than or equal to 0.

Non-Members

Price:

Quantity

Please enter a number greater than or equal to 0.

Sponsor

Price:

Quantity

Please enter a number greater than or equal to 0.

Student Trainee

Price:

Note: Student Trainees must pay for a Dinner Ticket (via "Dinner Guest" below)

Quantity

Please enter a number greater than or equal to 0.

Invited Speaker

Price:

Quantity

Please enter a number greater than or equal to 0.

Awardee

Price:

Quantity

Please enter a number greater than or equal to 0.

Are You Attending the Dinner?(Required)

Yes

Dinner

Please enter the Quantity of Dinner Tickets that you'd like:

Dinner Ticket

Price:

Quantity

Please enter a number greater than or equal to 0.

Dinner Ticket (Complimentary - Invited Speaker)

Price:

Quantity

Please enter a number greater than or equal to 0.

Dinner Ticket (Complimentary - Awardee)

Price:

Quantity

Please enter a number greater than or equal to 0.

Subtotal

$ 0.00 CAD

Coupon

GST

$ 0.00 CAD

(Alberta, British Columbia, Manitoba, Northwest Territories, Nunavut, Saskatchewan or Yukon)

HST

$ 0.00 CAD

(Ontario)

HST

$ 0.00 CAD

(New Brunswick, Newfoundland and Labrador, Nova Scotia or Prince Edward Island)

GST

$ 0.00 CAD

(Quebec)

PST

$ 0.00 CAD

(Quebec)

Tax

$ 0.00 CAD

(Non-resident)

Total Registration Fee

Credit Card(Required)

Card Details

Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.