2022 Learning Institute Group Booking Form

Groups of 5 or more can register for the CHPCA Learning Institute 2022 at a discounted rate.

Here’s how to use the group discount:

Please select the number of registrations and fill out the following form.
Make payment.
Within three (3) business days, the primary contact will receive a promo code that can be distributed among conference participants.
Participants must use the promo code to register for the conference. Individuals can register here: https://www.chpca.ca/conference/registration

For questions regarding the group discount, please contact [email protected]

Fields marked with an asterisk (*) are required

Group Registration Amount*
The price shown is for one person. A minimum of five registrations must be purchased to qualify for the group registration discount.
Price:
Number of Registrations*
Promo Code:
Total
$ 0.00 CAD
Organization:
Primary Contact Name:*
The primary contact does not need to attend the event but should be the point of contact when dealing with issues related to the group discount.
First Last
Email:*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City Province / State / Region Postal / Zip Code Country
Phone:*
How did you hear about the Learning Institute?*
I have read and understand the CHPCA Learning Institute's Registration Cancellation Policy:*
View Cancellation Policy
- Yes
- I do not wish to receive communication from the CHPCA
Payment:*
Comments
This field is for validation purposes and should be left unchanged.