CIFF > Register

Save $100 per delegate by registering before March 23.
Save a further $80 per delegate by registering five or more.

Online Registration – payment by credit card only.
If you wish to pay via cheque, please click here to download the paper form.

Cancellation Policy: Cancellation fee of $100 + HST applies per delegate; no refunds after April 30, 2012. Substitutions allowed at any time.

Online Registration

Contact
Step 1/4

Delegates
Step 2/4

Review
Step 3/4

Payment
Step 4/4

2012 Canadian Insurance Financial Forum Registration Form

Conference Fees	Until Mar 23, 2012	After Mar 23, 2012
Individual delegates	$499.00	$599.00
5 or more delegates	$419.00	$519.00

Please complete this section with the information of the person filling out this form.
Delegate/s information will be entered on next page

Name*
Title*
Organization*
Address Line 1*
Address Line 2
City*
Province*
Postal Code*
Country*
Email*
	(Note: registration confirmation/s will be sent to this email address)
Phone*
Number of Delegates*

You must enter a value in every mandatory field