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Ideal Pharmaceuticals Alliance
Professional Pharmaceutical Training

 

 

Ideal Pharmaceutical Alliance

 

 

Seminar fees should be received 5 business days prior to the seminar date. A receipt will be sent out within 2 days. Refund will be paid if attendant cancels 7 business days prior the seminar date, minus a $25 administration fee otherwise full fee will be charged if seminar is not attended 

 

Seminar Registration form   

Name:________________________________________________________________________________________

Title:________________________________________________________________________________________

 Employer/Institution ___________________________________________________________________________

 Address: ____________________________________________________________________________________
             Street                                         
              ____________________________________________________________________________________
              City                                  State/Province                         Zip/Postal code 
Telephone-Primary _______________________________Secondary:___________________________________  

Fax#:____________________________________Email Address: ______________________________________

Name of seminar:_____________________________________________________________________________

Seminar number:__________________________________________Fee:________________________________

I require a Vegetarian Meal: ___________________________ Non-Vegetarian Meal: ______________________

Request Badge name(if different from above):______________________________________________________

If paying by credit card, please fax registration form to (416)622-5056
If paying by check or money order, please mail registration form to
Ideal Pharmaceutical Alliance 385 The West Mall, Suite 258 Toronto, ON M9C 1E7 

Pay by cheque (Make payable to: Ideal Pharmaceutical Alliance-Canada):________

Pay by Credit Card VISA _____MasterCard _____ American Express______        

Card#:_______---________---_______---_________ Exp:(mm/yy):____________

Cardholder Signature:______________________________ Print Name:____________________________________

 
IPA reserves the right to cancel, modify and or change materials, speakers, seminars and events without notice. If for any reason a seminar must be cancelled registrants will be notified and all fees paid will be returned in full. IPA cannot be held liable for Airfare, travel and or any penalties incurred due to cancellation.
Office Address
385 The West Mall
Suite 259, Toronto
Ontario Canada
416-622-5055
416-622-9410
1-866-605-5055
Fax: 416-622-5056
Copyright © Ideal Pharmaceutical Alliance 2007 - 2010