Registration - 2024 Fundamentals

Online Registration

Fundamentals of Group Benefits

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Name *

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Last

Company *

Job Title *

Phone Number *

Email *

Please select one of the following: *

I am a Toronto Chapter member ($75) I am a Southwestern Ontario Chapter member ($75) I'm going to join a chapter today to get the $75 rate! I am not a member ($125)

Member number (if applicable) *

PAYMENT INFORMATION (PLEASE SELECT ONE) *

Payment by Paypal or Credit Card (you will be taken to the payment page when you click submit) Cheque (mailing address on next page)

Questions/Comments: *

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