HHRC Online Registration Form

Events:             

• HHRC Workshop - Building Blocks for Community Planning - March 23, 2010
• Ontario Heart Health Network Meeting - March 24, 2010

Location:       Metropolitan Hotel Toronto - 108 Chestnut Street, Toronto - Mandarin Ballroom

To register and pay by cheque use this form.

To register and pay by credit card go to HHRC/OHHN Workshop and Meeting

First Name		Last Name
Title		Organization
Address		City
Province	Postal Code	Phone
Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia North West Territories Nunuvut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories		ext.
Fax		Email
Ministry of Health Region		Organization Type
Canada-wide (not Ontario) Central East Central West East International North Ontario (Province wide) South West Toronto Unknown		Board of Health / Public Health Community Coalition/Group Community Health Centre Consortium & Other Resource Centres Education Environment General Public Government: Federal Government: First nations Government: Local / regional Government: Provincial Health NGO/Volunteer Other Recreation
*Please indicate any special requirements you have: (dietary, accessibility, other)

Please choose the events you will be attending from the list below.
	Event Title	Date & Time	Registration Fee
I will attend	HHRC Workshop - Building Blocks for Community Planning	March 23, 2010 8:00 am - 4:00 pm	$60.00
I will attend	OHHN Meeting - Moving Forward Together	March 24, 2010 8:00 am - 3:00 pm	$120.00

PAYMENT
Payment is required in advance. If you need an invoice for any of these charges, please contact Angella Kalloo at (416) 367-3313 ext. 232 or email: heart@opha.on.ca. Receipts will be provided onsite on the day of the event.

Please make cheque payable to: ONTARIO PUBLIC HEALTH ASSOCIATION - HHRC
Mail payment to: Angella Kalloo, Heart Health Resource Centre, c/o Ontario Public Health Association, 700 Lawrence Ave. West, Suite 310, Toronto, ON M6A 3B4

Deadline for registration is March 10, 2010.

ACCOMMODATION:
To reserve a room, contact the Metropolitan Hotel Toronto directly at (416) 599-0555, toll free1-800-668-6600 or email: reservations@tor.metropolitan.com. Quote Group: Ontario Public Health Association to secure the special delegate rate (119.00 + taxes per night) available until March 5, 2010. Rates and availability cannot be guaranteed for requests made after this date. Reservations must be guaranteed with a credit card for the first nights room and tax. If the reservation is cancelled within five days of arrival, the one night room and tax will be forfeited.

New deadline for rooms at the special delegate rate is March 5, 2010.

For Metropolitan Hotel Toronto information go to http://www.metropolitan.com