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Topp Bar | Society of Rural Physicians of Canada
Rural and Remote

The Society of Rural Physicians of Canada

25th Annual Rural and Remote Medicine Course

April 6-8th 2017

Telus Convention Centre  —  Calgary, Alberta

Registration Form (.pdf)

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25th Annual Rural and Remote Medicine Course
Rural And Remote 2017 — Earlybird Registration

Telus Convention Centre — April 6-8th 2017  —  Calgary, 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 .
3 Day Registration Fees (Includes breakfast, lunch and breaks)

SRPC Members: $ 1095 | Non-SRPC Members:  $ 1335 | *Students and Nurses:  $ 365  | * **Residents and Others:  $ 720

* Based on SRPC Membership. To join the Society please see Membership area.

**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

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Not Indicated

Fees:

   Course Fees (Please Select):
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: $

Calculated Totals:

authorized amount
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Method of Payment

Please make cheque payable to SRPC and mail to:
 
Society of Rural Physicians of Canada
Registration R and R 2017
P.O. Box 893
Shawville, Québec
Canada J0X 2Y0
 
Please invoice me.
Expiry Date: 

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 2016 - The Society of Rural Physicians of Canada
P. O. Box 893 | 269 Main Street | Shawville, QC | J0X 2Y0
Toll Free: 1-877-276-1949 | Fax: (819) 647-2485

style="cursor:pointer" onclick="skedshow(2)">Detailed Course Schedule