Register For Scientific Meeting 2021 Vancouver, BC THIS SECTION IS UNDER CONSTRUCTION Conference Dates: September 30 – October 2, 2021 CARDP 2021 Members & Non-Member-Dental Conference Registration Conference Theme “Digital Dentistry, Where Are We Today?” 1 12 23 1 Attendee Information PrefixDr.Mr.Mrs.MissFirst Name*Last Name*Email* Phone*AddressProvide Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Partner - Guest for Social ActivitiesPartner - Guest Email for Social Activity Updates Non-Members - How did you learn about CARDP?Select Your Category TypeAre You A CARDP Member?*--YesNoMembership Dues Status*If you have paid your dues already, select Paid.CARDP Member Dues PaidActive - Fellow Member Dues - $600Life Member - $0Honorary Member - $0Military Member - $325Full Time Faculty Member - $325Technician Member - $4752nd Year Dentist Member - $300Attending Meeting Conference?Indicate AttendanceYesNoConference Attendance Categories*PLEASE SELECT CATEGORY. (Early bird rate Expires July 15) --Not Attending Conference $ 0.00Active/Fellow Member Conference Fee - $ 575Life Members - $ 575Honorary Member - $ 0.00Non-Member - $1675Non-Member Special - $ 1575Speaker Fee $ 0.00Military Member - $ 525Military Non-Member - $625Full Time Faculty Member - $ 525Full Time Faculty Non-Member (Host City) - $625Technician Member - $ 425Technician Non-Member - $625First Year Grad - $ 475Graduates - Saturday Only - $ 250.00Second Year Dentist Grad - $ 475Student (No Meal) - $ 50Student Rate Friday (no Meals) - $ 25Student Rate Saturday (no Meals) - $ 25Student Award Winner $ 0.00ALL DAY FRIDAY ONLY, $ 850ALL DAY SATURDAY ONLY, $ 850If Registering for the Special Non-Member Discount - Indicate AffiliationNon-Member Special (Discount) for Vancouver Chapter Study Clubs, AGD Members and Tucker Club Members (Indicate Affiliation) $100.00 DiscountTotal $ 0.00 CAD Student Registrants - Indicate University 2 Choose Your Courses And Activities Thursday, October 1 - Hands on Course with Dr. David Clark, *** NOTE *** This course is currently Sold Out, However plans are underway to possibly provide a second course, On Wednesday, September 30, 2020. Please E-Mail David to be placed on the wait list firstname.lastname@example.orgBetter Faster Prettier Composites Workshop. 7 CE Credits Issued - 8:00 am - 4:00 pm (registration 7:30 am) Location: Westin NS Hotel, Harbour Suite, Lobby LevelNot Attending - Hands on CourseCARDP Members - Thursday, October 1 - Dr. David Clark - Hands on CourseNon-Members - Thursday, October 1 - Dr. David Clark - Hands on CourseStudents - Thursday, October 1 - Dr. David Clark - Hands on CourseKayaking with the Shaffner's Wednesday, September 30th, 2020 - Afternoon Arrival on Own to Lunenburg at the Boscawen Inn, 150 Cumberland St, Lunenburg, NS B0J 2C0 - Until 4:00 pm – Thursday, October 1st, 2020For registrants and/or guests. Price: $ 395.00 CAD QuantityPlease enter a number from 0 to 5.Shop Halifax On the Waterfront Thursday, October 1st, 2020 9:00 am – 5:00 pm (Behind the Westin Hotel, Walking on Own or with Friends)For registrants and/or guests. Price: $ 0.00 CAD Quantity: Deep Sea Fishing on the Peggy's Cove Express & Luncheon at Murphy’s on the Water Thursday, October 1st, 2020 - 9:00 am – 2:30 pmFor registrants and/or guests. Price: $ 185.00 CAD QuantityPlease enter a number from 0 to 5.Deep Sea FishingIndicate Meal Choice - Lobster Roll or Fish & Chips or Vegetarian? Other Dietary Needs?Welcome Reception - Appy's and Drinks with Sponsors at the Westin Nova Scotian Hotel, Thursday, October 15:30 pm – 8:30 pm Cost: Free with Registration for registrants and/or their guest (Plan to dine out with your Colleagues and Friends on this Evening) PLEASE INDICATE ATTENDANCE (Not Included in Student Registration) Price: $ 0.00 CAD QuantityArt Feast with Alan Bateman and Holly Carr, Canning Nova Scotia - Halifax Partner's Program Friday, October 2 - Motor Coach TourTime: 8:30 pm – 4:30 pm (Meet in Lobby for 8:30 am) Price: $ 275.00 CAD QuantityPlease enter a number from 0 to 5.Friday Night "President’s Party" at Pier 21 National Historic Site, Friday October 2 - 7:00 pm, Reception, Dinner and Dance7:00 pm - 12:00 am (Meet in Lobby at 6:45 pm to walk to Pier 21 Behind Hotel. Reception, Dinner and Entertainment- Heritage Hall. All Welcome, Speakers, Sponsors, Delegates & Guests. Price: $ 195.00 CAD QuantityPlease enter a number from 0 to 5.Friday, President's PartyIndicate Meal Choice with Name then Choice of: Lobster, Chicken, Vegetarian or Other. Please provide any dietary needsHalifax Partner’s Program (PART I) Lunch at Bistro le Coq, 1584 Argyle St, Halifax, NS B3J 2B3, Saturday, October 3 (11:30 am - 2:00 pm)Time: Noon - 1:45 pm Price: $ 59.00 CAD QuantityPlease enter a number from 0 to 5.Halifax Partner’s Program (PART II) Show at Neptune Theatre "Hockey Messiah" - Saturday, October 3Time: - 2:00 pm – 4:30 pm (Meet at Theater 1:45 pm Sharp) Price: $ 57.00 CAD QuantityPlease enter a number from 0 to 5.CARDP Members & Non Members Luncheon - Saturday, October 312:00pm - 1:30pm Please Indicate your AttendanceCARDP Members and Guest Luncheon, Saturday, October 3 - AttendCARDP Member and Guest Luncheon, Saturday, October 3 - Not AttendingGroup Dinner at "Cafe Chianti"- Saturday, October 3 (All Welcome) Meet in the Hotel Lobby at 6:45 pm (Or Meet Onsite 7:00 pm)7:00 pm - Finish partner/guest Meet in Hotel Lobby of the Hotel at 6:45 pm. Price Per Person includes Dinner with tax and gratuity. BEVERAGE ON OWN. Price: $ 95.00 CAD QuantityPlease enter a number from 0 to 5. 3 Payment Donations"Dr. E.J.Rajczak" Student Scholar Award Fund - Additional Donation-- select fund amount"Dr. E.J. Rajczak" Student Scholar Award Fund $ 50"Dr. E.J. Rajczak" Student Scholar Award Fund $ 100"Dr. E.J. Rajczak" Student Scholar Award Fund $ 150"Dr. E.J. Rajczak" Student Scholar Award Fund $ 200Total $ 0.00 CAD Starfield Security Payment Type*Visa, Mastercard and Cheque Only!Select -VisaMastercardChequeName on CardCredit CardExpiry Datemm/yyAlternative Payment Pay By Cheque If paying by cheque, please make cheque payable to "CARDP" for the Total Cost above. Please click "Register" below, then include your name and cheque by mail to: CARDP / ACDRP Administration 75 Charlottetown Way, Dartmouth, Nova Scotia, B2W 3B5 E-Mail: email@example.com CommentsThis field is for validation purposes and should be left unchanged.