Programme de certification professionnelle d’Hypertension Canada – (niveau 1) – 400 $

Title
MsMissMrsMrDr

First Name*

Last Name*

Profession*
---DietitianMedical studentResidentNurseNurse PractitionerPharmacistPhysicianPhysician assistantPost-doctoral FellowPrimary Care PhysicianOther

Address*

Address 2

City*

Province*
---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonAhmadiAl-AsimahFarwaniyaHawalliJahraMubarak Al-KabeerOther

Postal Code*

Country*
---CanadaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua & DepsArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkinaBurundiCambodiaCameroonCape VerdeCentral African RepChadChileChinaColombiaComorosCongoCongo {Democratic Rep}Costa RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIreland {Republic}IsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea NorthKorea SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar {Burma}NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussian FederationRwandaSt Kitts & NevisSt LuciaSaint Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Email address*

Yes, I would like to receive communications from Hypertension Canada

Level 1 – Hypertension Fundamentals – $400

Total :

I have read and agree to the terms of the Privacy Policy.

We only collect personal information relevant and necessary to our programs and services, which include:

• Membership with Hypertension Canada, upon sign up
• Our professional education programs, upon registration:
• Our annual Canadian Hypertension Congress, upon registration or abstract submission
• Our educational materials, upon placing an order
• Donations made via Canada Helps, upon donation

We collect information fairly and lawfully, and directly from individuals wherever possible to ensure we do so accurately. At this time, we collect personal information through the
activities listed above, through the method(s) you choose (via website, mail, phone, fax or verbal request) to request them. Please refer to our privacy policy.