PARTNER COMMITMENT FORM

COMPANY OR SPONSOR CONTACT INFORMATION

Company Name* :

Address* :

City* :

Country* : Canada United States

Province* : --- Select a province -- Alberta British Columbia Prince Edward Island Manitoba New Brunswick Nova Scotia Nunavut Ontario Quebec Newfoundland and Labrador Saskatchewan Northwest Territories Yukon

State* : --- Select a state -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Postal Code * :

Contact person :

Name* :

First Name* :

Function* :

Phone Number* :

Email* :

Corporate Information :

Company profile/description* :

Website address* :

Email * :

Telephone * :

LinkedIn :

Facebook :

Twitter :

Instagram :

Material to provide :

As a partner, you get increased visibility! To help us provide you with the best possible visibility, please provide us with your high-resolution logo and advertising, if applicable.

Corporate logo* :

Format: Logos in eps or ai format are recommended to ensure visual quality

CLICK TO SELECT OR DRAG FILES HERE

Advertisement :

Please send us your advertisement in PDF format

CLICK TO SELECT OR DRAG FILES HERE

Consult the Partnership plan to find out the details of the different partnership offers and other details of the CIISOQ 2026 provincial conference. 

Choice of plan

I just want to make a donation to support training

Select a plan

PARTENAIRE BRONZE

Details Logo with a hyperlink to your website on the registration page and in all email advertisements, plus a post on our various social media platforms. 1 10x10 Booths 1 Full event passes (including special evening) for your representatives LOGO: In the partners section of the attendee program Participation in exhibitor contests Logo with a hyperlink to your website in the thank-you email to participants Number of plans: 28 COST: Can$ 2 500

CIISOQ also offers the possibility of customized partnerships (a cocktail, lanyards, additional advertising pages, etc.). Don’t hesitate to contact Marie-Josée Aubé by email at ciiosq@lassocie.ca or by phone at 1 514 223-6259 ext. 3104.

Number of booths :

0

Select your choice of location(s) CLICK TO SELECT

Selected locations : No selected location

Representatives present at the conference

Indicate the name, first name, email and any allergies of the representative(s) who will be present during the event.

Representative 1
Name*  :	First Name*  :	Email*  :
Telephone:	Function:
Does this representative have any food allergies? * No yes If yes, specify the type of allergy

Price for additional representatives: Can$270 for one day, Can$500 for 2 days.

ADD

Observer participants

Additional ticket giving access to conferences for your representatives

Price per participant : Can$ 165

ADD

Donation to support continuing education :
Non-taxable

Can$

Credit card information

First Name* :

Name* :

Postal Code / ZIP code* :

Card number* :

Expiry date*  : - Month - 1 2 3 4 5 6 7 8 9 10 11 12 - Year - 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045 2046

CVV* :

Acceptance of Terms of Payments *

I accept the payment terms on this site.

Subtotal :

Can$ 0

Credit :

Can$ 0

Subtotal2 :

Can$ 0

GST :

Can$ 0

QST :

Can$ 0

TOTAL PAYMENT :

Can$ 0

Click below to submit your data (payment will follow)

TPS #10523 3159 RT0001
TVQ #1013122497

CONFIRM INFORMATION BEFORE SUBMITTING

COMPANY OR SPONSOR CONTACT INFORMATION
Company Name :	No value
Address :	No value
City :	No value
Province : No value
State : No value
Country:	No value
Postal Code :	No value
url :	No value
Info email :	No value
Info telephone :	No value
Profile :	No value
Corporate logo :	No value
Advertisement :	No value
LinkedIn :	No value
Facebook :	No value
Twitter :	No value
Instagram :	No value
Contact person
Name :	No value
First Name :	No value
Function :	No value
Phone Number :	No value
Email :	No value
Credit card information
First Name :	No value
Name :	No value
Postal Code / ZIP code :	No value
Card number :	No value
Expiry date :	No value
CVV :	No value
Representatives present at the conference No representative indicated
Booths
Plan :	No value
	Logo with a hyperlink to your website on the registration page and in all email advertisements, plus a post on our various social media platforms. 2 10x10 Booths Presentation of a 30-minute conference during a lunch or dinner. 2 Full event passes (including special evening) for your representatives 1 page PowerPoint format advertisement on screens and in the attendee program LOGO: On the giant partners banner On large screens In the partners section of the attendee program Tabletop display Participation in exhibitor contests Logo on signage at the entrance to the roomof plenary session during lunch or dinner Logo with a hyperlink to your website in the thank-you email to participants TOTAL : Can$7000 Logo with a hyperlink to your website on the registration page and in all email advertisements, plus a post on our various social media platforms. 2 10x10 Booths 2 Full event passes (including special evening) for your representatives 1/2 page PowerPoint format advertisement on screens and in the attendee program LOGO: On the giant partners banner On large screens In the partners section of the attendee program Participation in exhibitor contests Logo with a hyperlink to your website in the thank-you email to participants TOTAL : Can$4000 Logo with a hyperlink to your website on the registration page and in all email advertisements, plus a post on our various social media platforms. 1 10x10 Booths 1 Full event passes (including special evening) for your representatives 1/4 page PowerPoint format advertisement on screens and in the attendee program LOGO: On the giant partners banner On large screens In the partners section of the attendee program Participation in exhibitor contests Logo on the posters at the entrance to the room during the drawing for the $1,500 travel certificate awarded on your behalf Logo with a hyperlink to your website in the thank-you email to participants TOTAL : Can$3700 Logo with a hyperlink to your website on the registration page and in all email advertisements, plus a post on our various social media platforms. 1 10x10 Booths 1 Full event passes (including special evening) for your representatives LOGO: In the partners section of the attendee program Participation in exhibitor contests Logo with a hyperlink to your website in the thank-you email to participants TOTAL : Can$2500 As a partner, you have the option to add a 30-minute presentation in the exhibitor space to your package for $1,500. A great opportunity to showcase your organization! TOTAL : Can$1500 TOTAL : Can$
Addition to the partnership :	No value
Number of booths :	No value
Selected locations :	No value
Donation to support continuing education : Non-taxable :	No value
TOTAL PAYMENT :	No value

Are all information submitted exact ?

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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 the SSL standard and, thanks to their highly secure connections, Global Payments and Paysafe ensure the confidentiality of the information you submit during the transaction. All personal information collected will be used only for payment of locations and management of registrations and will not under any circumstances be resold to any third party. Credit card numbers are not stored on the ciisoq.ca server and are used only to complete the current transaction. Only the last 4 digits of the credit card number are recorded with your transaction for reference purposes.