|
The event will be held on April 17 and 18, 2026, at the Universel Hotel in Drummondville, under the theme
“Evolution, the operating room from yesterday to today”.
CONFIRM YOUR INFORMATION BEFORE SUBMITTING
| Personal Information |
| CIISOQ member : | Empty |
| CORNQ's Membership Number : | Empty |
| Gender : | Empty |
| Name : | Empty |
| First Name : | Empty |
| Address : | Empty |
| City : | Empty |
| Province : | Empty |
| Postal Code : | Empty |
| Phone Number : | Empty |
| Personal Email : | Empty |
| Professional Information |
| Name of Integrated Health and Social Services Centre or Employer : | Empty |
| Establishment : | Empty |
| Address : | Empty |
| City : | Empty |
| Province : | Empty |
| Postal Code : | Empty |
| Work Phone : | Empty |
| Extension : | Empty |
| Job Title / Function : | Empty |
| Specify if Other : | Empty |
| Professional Email : | Empty |
| Credit Card Information |
| Firstname : | |
| Name : | |
| Postal Code / Doctorate : | |
| Card number : | |
| Expiration date : | |
| CVV : | |
|
| 2026 CORNQ provincial conference registration |
| Number of days : | Empty |
| Days of presence : | Empty |
| Allergies or dietary restrictions |
| Empty | Empty |
TOTAL PAYMENT : | Empty |
Are all information correct ?
Currency : All payments are in Canadian dollars only.
Cards accepted : You can complete transactions using Visa or MasterCard.
Privacy Policy : The CORNQ site is secured with SSL standard and, through their highly secure connections, Desjardins and Optimal, ensure the confidentiality of information that you submit during the transaction. All personal information collected will be used only for the payment of sites and enrollment management and will, under no circumstances be sold to any third party.
|
