| Season Subscriber: |
| | I would like to register for all 6 of the regular sessions. Invoice me for $150 (Cdn). |
| Pay-as-you-go: I would like to register for the following session(s). Invoice me for $30 ($35 out-of-province) per session: |
| #1 Straight-up Strategies: Working with First Nations to Enhance Injury Prevention (January 21, 2010) |
| #2 An Ounce of Prevention - Are we delivering an ounce of prevention in Canada? Injury Prevention Success Stories (March 18, 2010) |
| #3 Injury Surveillance at Vancouver Coastal Health Authority- from leveraging the 2010 Winter Olympics to creating a legacy for injury prevention (May 20, 2010) |
| #4 Preventable.ca - Impact on British Columbians (July 15, 2010) |
| #5 Prevention is Possible: How Head Restraints Can Prevent Whiplash Injuries (Sept 16, 2010) |
| #6 The State of Fall Prevention in Canada: Transforming Knowledge to Action (Nov 18, 2010) |
| Organizations with multiple sites: |
| | My organization would like to subscribe to the whole package for multiple sites. Please invoice us at $150 for first site, and $100 for each additional site. |
| | My organization would like to register multiple sites for the session(s) above. Please invoice us at $30 for first site, and $24 for each additional site. |
| Total number of sites: |
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| Your name and organization will be put on our mailing list and a teleconference agenda, log-on instructions and fax-back evaluation form will be forwarded to you prior to each teleconference. Name of Participant/ Contact person: |
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| Organization: |
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| Address: |
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| Phone: |
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| Fax: |
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| E-mail: |
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| E-mail contacts for multiple sites (if applicable): |
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| All sessions are recorded. To receive a CD copy, please indicate which sessions you would like a record of: Please note: There is a $10 charge per CD. |
| #1 Straight-up Strategies: Working with First Nations to Enhance Injury Prevention (January 21, 2010) |
| #2 An Ounce of Prevention - Are we delivering an ounce of prevention in Canada? Injury Prevention Success Stories (March 18, 2010) |
| #3 Injury Surveillance at Vancouver Coastal Health Authority- from leveraging the 2010 Winter Olympics to creating a legacy for injury prevention (May 20, 2010) |
| #4 Preventable.ca - Impact on British Columbians (July 15, 2010) |
| #5 Prevention is Possible: How Head Restraints Can Prevent Whiplash Injuries (Sept 16, 2010) |