To successfully register for the course you must complete the following three steps:

Submit your booking information at the bottom of this page
Submit payment by cheque or credit card (instructions below)
Email payment receipt to doherty@hhsc.ca

PAYMENT INFORMATION:

To pay by credit card, go to: https://www.e-comunity.ca/unp/UNPFrontControllerServlet?LANG=en&OPCODE=FormInfo&APP_ID=100032&BRAND=site

For the Account Number, please enter: RGPEducation
For Patient Name, enter: your own name
For Amount, enter: 150.00

Please follow the instructions to pay with credit card. (Please note, a $2.00 surcharge will be applied for credit card payments) Once you complete the process, you MUST print or save a pdf of your confirmation and send it to Michelle Doherty at doherty@hhsc.ca in order for your registration to be complete/confirmed.
___________________________________________________________________________

CHEQUE – Please make cheques payable to Hamilton Health Sciences
Mail to:
Attn: Michelle Doherty
Regional Geriatric Program central
St. Peter’s Hospital
88 Maplewood Avenue
Hamilton, ON L8M 1W9

*Cancellations received before October 2nd, 2020 will be refunded less a 25% administration fee. No refunds will be issued for cancellations after this date.

Payment Information

Bookings

Price$150.00

Spaces

First Name *

Last Name *

Title/Position *

Organization *

Address *

City *

Province *

Postal Code *

Phone # *

Email *

Professional Designation *

Other

Work Setting *

Other

Food Allergies or Restrictions

Notes

I consent to my submitted data being collected and stored as outlined by the site .

To successfully register for the course you must complete the following three steps:

Submit your booking information at the bottom of this page

Submit payment by cheque or credit card (instructions below)

Email payment receipt to doherty@hhsc.ca

PAYMENT INFORMATION:

Bookings