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Event: Professional Day - Regina (10/1/2019)

* Registration Type:  

Personal Information
* Salutation:  
* First Name:  
Middle Initial:
* Last Name:  
Preferred Name:
* Password:  


Contact Information
* Preferred Contact Information:  
*Number & Street:  
*City:  
*Province:  
*Postal Code:  
*Phone:  
Fax:
*Email:  
Unless you check the box, we may release your contact information as noted above, but no other information to the Sponsors of the event.

Professional Designations
   Note: You must hold the ""Ctrl"" Key to
select multiple designations at once.
Other (Please separate by , if more than one)
How many years in industry? Years
CFP Licensee #:
I am also Licensed under:
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select multiple license types at once.

Additional Information
I am interested in the CIFPs' Errors and Omission Insurance Plan (please send me details)
I am interested in attending chapter meetings in:

How did you hear about this event?





  Other  

Special Dietary Requirements

Please list any Food Restrictions, Allergies, Disabilities, etc.

Payment Information

* Registration will not be processed without full payment.
* We can not invoice for payment.
* If you are registering to become a member the GST/HST/QST based on your province of residence will be applied to the CIFPs membership portion of the registration.
* 5% GST is applicable to the event registration.
 
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* Payment Method  
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Card Number:
Expiry Date (mm/yy)

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