2025 CAHPI Annual National Conference

Please complete the following details to register for the 2025 CAHPI National Annual Conference.

PLEASE NOTE: Any information collected on this form will update your CAHPI profile - please ensure all information is correct.

How many people are you registering? *

Event Registration Details

Email Address *

First Name *

Last Name *

Company Name

Street Address *

Please use this field to include a PO Box, Unit # or Suite #

City *

Country *

Province *

Postal Code *

Phone # *

Do you agree to releasing your name and contact info to sponsors & exhibitors for future information? *

Yes

If you have any special food sensitivities, a disability or condition that requires special assistance or services please contact us to discuss your specific needs.

Dietary/special requirements

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *