Optometrist/Ophthalmologist Name * Email Address * Friday, October 18, 2024 Check all that you will attend 9:00 am - CPR Training ($60, not included in Early Bird or Full CE) 12:30 pm - Lunch on your own 1:30 pm - Update on Corneal Transplant Techniques ($60 Members & Non-Members, $30 for New Grads) 2:45 pm - Lens Based Refractive Surgery ($60 for Members & Non-Members, $30 for New Grads) 4:00 pm - Empowering Cataract Patients ($60 for Members & Non-Members, $30 for New Grads) 5:00 pm - Alcon Visionary Vibes Reception (complimentary) Saturday, October 19, 2024 Check all that you will attend 8:00 am - Buffet Breakfast (complimentary with Full CE or member/guest @ $25) 9:00 am - Analyzing Retinal OCT ($30 for Members & Non-Members, $15 for New Grads) 10:00 am - Retinal Grand Rounds ($30 for Members & Non-Members, $15 for New Grads) 11:30 am - Optimizing Glaucoma Management ($60 for Members & Non-Members, $30 for New Grads) 12:30 pm - Lunch Buffet (complimentary with Full CE or member/guest @ $35) 1:30 pm - Creating Safe(r) Spaces for 2SLGBTQ+ Patients ($60 for Members & Non-Members, $30 for New Grads) 2:30 pm - Debunking Myopia Misconceptions ($60 for Members & Non-Members, $30 for New Grads) 3:45 pm - Understanding the Mysteries of Photopsia ($60 for Members & Non-Members, $30 for New Grads) Fee Totals & Payment Information What is your total amount owing including 5% GST on all fees? Early Bird Full CE for members and non-members is $446.25 ( $425+ GST), Full CE for new grads is $252 ($240 + GST) How will you be paying? I will mail a cheque payable to Manitoba Association of Optometrists I will pay through my bank Bank payments can be made through CIBC, BMO, RBC, Scotiabank, TD, or most Manitoba Credit Unions by online banking, phone banking, or at your branch. To pay through your bank, you will need your account number, which is M followed by your 3-digit MAO registration number. Find us listed as Manitoba Association of Optometrists or MB ASSOCIATION OF OPTOMETRISTS (depending on the bank). If you are asked for a longer account number, add zeros at the end. Special Dietary Requests Please indicate if you or your guests (include guest name) have any dietary requests: New checkboxes My dietary request or my guest's is due to an ALLERGY Submit Leave this field blank
