Online Registration Form

A. Identification

B. Perspective

Medical Speciality:
Professional License Number

C. Registration Fees

FULL SYMPOSIUM REGISTRATION

2020 Rates - Before Aug. 31, 2020 Before Jan. 15, 2021 After Jan. 15, 2021 After April 16, 2021 TOTAL $
Physician / Corporate Rep.
Genetic Counsellor / Nurse
$670 CAN $695 CAN $750 CAN $835 CAN
Post Doc. / Resident1
$645 CAN $670 CAN $725 CAN $790 CAN
Student2
$470 CAN $485 CAN $525 CAN $585 CAN

All fees are shown in Canadian funds. The Full Symposium registration fees includes access to sessions, continental breakfast each day, buffet lunch (May 5-6), coffee breaks and the Symposium documentation.

INDIVIDUAL DAY REGISTRATION

2020 rates Before August 31, 2020 Before Jan. 15, 2021 After Jan. 15, 2021 After April 16, 2021                            
Physician / Corporate Rep.
$470 CAN $485 CAN $525 CAN $550 CAN  
Genetic Counsellor / Nurse
$360 CAN $370 CAN $400 CAN $420 CAN  
Post Doc. / Resident1
$360 CAN $370 CAN $400 CAN $420 CAN  
Student2
$260 CAN $270 CAN $295 CAN $310 CAN  
                              
$   X    Days =  
Genetics and Genomics Glossary
An Introductory Session
Tuesday, 18:30 - 20:30
(already included in Full Symposium fees)
$65 CAN $65 CAN $65 CAN $65 CAN

1 Please provide proof of Post Doc / Resident status, i.e. letter from your programme director.

2 Please provide proof of full-time student status, i.e. copy of current student card or letter from your programme director.

Total Registration Fees


D. Special Interest Group (SIG) Preferences

Thursday, May 6, 2021

Please rank the SIGs in order of your preference (1-6). You will be assigned to two SIGs on a first come, first reserved basis.

Rarer moderate to highly penetrant breast and ovarian cancer syndromes - CDH1, PTEN, TP53, NTHL1 and others (SIG 1)

Genetic counselling – How to expect the unexpected? (SIG 2)

Hereditary prostate, pancreas and male breast cancer: Research updates and surveillance recommendations (SIG 3)

Moderate risk genes – When and where are they useful? (SIG 4)

Ethico-legal issues around usage of genomic data (SIG 5)

Ovarian cancer – a multi-faceted view (SIG 6)

E. Special Needs



F. Method of Payment

Online Credit Card Payment (VISA, Mastercard, Discover, American Express, Diners Club, Carte Blanche, JCB and Visa Debit)
Certified Cheque/Money Order/Bank Draft
(Please make payable in Canadian funds to "O'Donoughue & Associates Event Management Re : BRCA")
Credit Card Payment by Fax
I am an Invited Speaker / Committee Member

Cancellation Policy

Full refunds, less an administrative fee of $50.00, will be made for written cancellations received by August 31, 2020. After August 31, 2020, only 50% will be refunded, and no refunds will be issued for cancellations received after March 12, 2021.


 I have read and acknowledge the cancellation policy.