Registration AGM 2018
Online form for keeping a record of paid participants.
Email address *
First Name
Your answer
Last Name
Your answer
E-Mail Address
Your answer
Your answer
AGM & Education Event Payment
Send Payment of $50 to ICHM at 701 Rossland Rd. E, Suite 624, Whitby ON, L1N 9K3
Dietary Restrictions
Check box to indicate restriction
Your answer
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