HCWCC CONFERENCE 2024

HCWCC CONFERENCE 2024

SEPTEMBER 24-27, 2024

Registration starts at 1pm on September 24, 2024

Conference ends at noon on September 27, 2024

Please use the following form to register for the HCWCC Conference. Note that all registrations must be completed by a member of their local’s executive. It is important to enter all contact information for each person you are registering, including their email address, as each member will receive a QR code for on-site registration. If you have any questions or issues regarding registration, please contact Winnie Lau at [email protected].

Registration Fee:

*On-line registration will be closed 5 business days prior to the Conference

Affiliates:	$350.00 ($400 after cut-off date on August, 24, 2024)
Non-Affiliates:	$400.00 ($450 after cut-off date on August, 24, 2024)

Registration Information

First Name *

Last Name *

Your Email Address *Used to send you a registration receipt.

Local Number *0 / 8

Phone0 / 10

Your position in the local *Please selectPresidentVice President Recording SecretarySecretary-TreasurerMember RetireeOther

Please Select Your Area: *Area 1 – Kitchener, London, WindsorArea 2 – Hamilton, NiagaraArea 3 – Barrie, Toronto, Markham, PeelArea 4 – Oshawa, PeterboroughArea 5 – Ottawa, Pembroke, Cornwall, KingstonArea 6 – North Bay, Sault Ste. Marie, Sudbury, TimminsArea 7 – Kenora, Thunder Bay

Please Select Your Sector: *Long Term Care/ Retirement HomeHospitalsHome CareOntario Heath at Home (OHH)CACOPublic Health

Is your local affiliated to CUPE Ontario? *

YesNo

I am authorized on behalf of my local to submit registration *

Yes

How many Votings Delegates are you registering? *

How many Non - Votings Delegates are you registering?

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Member 1 First Name *

Member 1 Last Name *

Member 1 Email Address *

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Member 2 First Name *

Member 2 Last Name *

Member 2 Email Address *

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Member 3 First Name *

Member 3 Last Name *

Member 3 Email Address *

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Member 4 First Name *

Member 4 Last Name *

Member 4 Email Address *

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Member 5 First Name *

Member 5 Last Name *

Member 5 Email Address *

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Member 6 First Name *

Member 6 Last Name *

Member 6 Email Address *

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Member 7 First Name *

Member 7 Last Name *

Member 7 Email Address *

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Member 8 First Name *

Member 8 Last Name *

Member 8 Email Address *

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Member 9 First Name *

Member 9 Last Name *

Member 9 Email Address *

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Member 10 First Name *

Member 10 Last Name *

Member 10 Email Address *

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Non - Voting Delegate 1 First Name *

Non - Voting Delegate 1 Last Name *

Non - Voting Delegate 1 Email Address *

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Non - Voting Delegate 2 First Name *

Non - Voting Delegate 2 Last Name *

Non - Voting Delegate 2 Email Address *

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Non - Voting Delegate 3 First Name *

Non - Voting Delegate 3 Last Name *

Non - Voting Delegate 3 Email Address *

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Non - Voting Delegate 4 First Name *

Non - Voting Delegate 4 Last Name *

Non - Voting Delegate 4 Email Address *

Payment Method *

I will submit payment using a credit card online nowI will submit payment by mailing in a cheque made payable to CUPE Ontario

Credit Card Information *

Total Fee to Charge to Credit Card

$

Cheque information

Please send your cheque, addressed to CUPE Ontario, to:

CUPE Ontario, 80 Commerce Valley Drive East, Suite 1, Markham, ON, L3T 0B2

Total Fee to be Paid by Cheque

$

Problems or Issues

If you are having any problems with this registration form, please contact Winnie Lau at [email protected]

Submit Registration