Rural and Remote

The Society of Rural Physicians of Canada

Enhanced Surgical Skills Program

January 17 & 18 2018

Banff Park Lodge — Banff Alberta

Registration Form (.pdf)

 

Please select:*

* Denotes required field.

  Register me for Enhanced Surgical Skills Program.
  Reserve my spot at Enhanced Surgical Skills Program with my $250 deposit.
  Pay balance of my registration fee.
  Put me on the list for more information when available.

Under Construction - Please Try Again Shortly

Enhanced Surgical Skills Program
ESS 2018 — Online Registration

Banff Park Lodge — Banff Alberta

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This program meets the accreditation criteria of the College of Family Physicians of Canada and has been accredited for up to .
Registration Fees

SRPC Members: $ 725 | Non-SRPC Members:  $ 800 | *Nurses:  $ 50  | * **Students, Residents and Others:  $ 350

* Based on SRPC Membership.

To join the Society please see Membership Page.

**Includes residents, retired, lifetime members and non-MDs

Choices 1:
Day 1 Elective Block -
Please indicate your preference for:

Not Indicated

Not Indicated

Not Indicated

Not Indicated

Not Indicated

Not Indicated

Not Indicated

Not Indicated

Not Indicated

Choices 2:
Day 2 Elective Block -
Please indicate your preference for:
(See schedule above)
CALS Advanced Airway
RCC Plastics
RCC Cervical Spine
RCC Obstetrical Emergencies
No Preference
Not Indicated
Not Indicated
Not Indicated
Not Indicated
Not Indicated

Identification

() -
() -
() -
() -
Not Indicated

Fees:

Course Fees (Please Select):
 $ 725 - SRPC Members
 $ 800 - Non-SRPC Members
 $ 50 - *Nurses
 $ 350 - * **Students, Residents and Others
Cancellation Policy: Notification must be received prior to the event to qualify for either: Full credit applied to future SRPC event or membership dues or Refund less a $75 administration fee
Friday Evening Reception RSVP:
Please Select: 

You are invited to attend the Friday January 22nd reception. Please let us know how many guests to plan for:

I plan to attend
I plan to attend with a guest
I do not plan to attend
Breakout session choice:

Please Select:

Space permitting, I would prefer to be part of the breakout on: Networks Credentialing and Privileging Organization for Action Operative Delivery
Charges:
Other Fees:
Balance:
Deposit:
Enter Amount:Amount of payment:Amount of deposit: $

Calculated Totals:

authorized amount
regfee regtext

Method of Payment

 
Please make cheque payable to SRPC and mail to:
 
Society of Rural Physicians of Canada
Registration ESS 2018
P.O. Box 893
Shawville, Québec
Canada J0X 2Y0
 
Please invoice me.

Remains of Table 2

Contact the CJRM: 5

6 How to reach us — Correspondence for the CJRM should be forwarded to:

7 Contact the CJRM:

Workshop Selection

Workshop Selection Coming Soon

Comments


 
Confirmation will be sent to your email address
If you do not receive prompt confirmation please contact us at the number below or by email at
Thanks to all for a successful, enjoyable, educational event!

©Copyright 2017 - The Society of Rural Physicians of Canada
P. O. Box 893 | Shawville, QC | J0X 2Y0
Toll Free: 1-877-276-1949 | Fax: (819) 647-2485
style="cursor:pointer" onclick="skedshow(2)">Detailed Course Schedule