Order Form For Reservations

2010 INDUCTION
Tuesday, April 13, 2010
BMO Centre, Stampede Park, Calgary, Alberta
Reception 5:30 pm   Dinner 6:15 pm

We will contact you to make arrangements for payment and to confirm any special dietary needs. Please be advised that no refunds will be permitted after April 6, 2010.

If you have questions or require further information, please contact Debbie Ash at 519-488-2003 x 103 or dash [at] cdnmedhall [dot] org.

Other important details are as follows:
•    Dress code is ‘Black Tie Invited’
•    Hotel Arts special room rate is $179.  Please call 1-800-661-9378 for reservations Reservation deadline is March 12, 2010
•    This is a ticket-less event

THANK YOU! We will be in touch soon.

The Canadian Medical Hall of Fame
202-267 Dundas Street, London ON N6A 1H2    
P: 519.488.2003      F: 519.488.2999
www.cdnmedhall.org
Charitable number: 140036914RR0001

NOTE:  A tax receipt of $100 per seat will be issued to the individual named below

YES! I would like to be a part of Canada’s medical history!

Please Reserve
$
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