Pacific Safety Center Online Registration

Registering for Pacific Safety Center events is easy!

*Red fields are required.

Please complete this Registration Form in order, from beginning to end.

2017 Western Conference on Safety

When:

April 3 & 4, 2017

Where:

3rd Floor, Regency Ballroom
Hyatt Regency Vancouver
655 Burrard Street
Vancouver, BC  V6C 2R7

Step 1: Contact Information

*Name:

Title:

*Company:

*Address:

*City:

*Province:

Postal Code:

*Phone:

*E-mail:

Step 2: Attendee Information

*# of Attendees:

Who will be Attending?
If known, please submit the Names of those who will be attending. 

If the attendee names are not known at this time, please enter "TBA".


First, please complete the fields above.


*Membership:
Do the attendees have membership in the CSSE?

Please Note:
Applicable to Post Conference Session 5 (PC-5) and Post Conference Session 6 (PC-6) only and is subject to confirmation


[ Select Membership Options ]

Step 3: Registration & Session Choices


*Is this a Regular or Post Event Course Registration Only?





[ Select Registration Options ]


What Sessions will the Attendees be going to? (if known)
Your choices will allow us to anticipate room size and do not limit you from attending any session.




  [ Select Attendee Sessions ]


OPTIONAL Post Event Course selection:

Please Note:
These are non-mandatory, extra cost sessions.


 

 



  [ Select Post Event Course ]

Step 4: Special Needs

Special Needs:
Please indicate here if you require any services for the physically challenged or have any other special requirements we should know about.

Step 5: Registration Fees

Conference:

Post Event Courses:

Subtotal:

Sales Tax:

Total:

Step 6: Payment Option

*Payment Option?

*Credit Card Type:

Step 7: E-News Sign-Up

*Would you like to sign up to receive information about Pacific Safety Center early bird specials, upcoming training opportunities, and more?

Yes     No

Privacy Policy: Pacific Safety Center takes great care with your personal information. We value your privacy and your time. You will only receive E-mail News from us, on average, once per month. You can unsubscribe at any time.

This is our vow to you.

Please check the box below to verify you are submitting a valid registration:





Questions? Need Help?

You can always e-mail us or call 604-233-1842