Technology In Action

Register For “AI: The Foundation of Next-Gen Insurance”

Wednesday, May 30, 2018 — BrainStation, Toronto

Back to Event Overview

The cost of registration is $495 per person.

  • Save 10% on multiple registrations (any group of three or more at once).
  • If your company is one of our event sponsors, email info@insurance-canada.ca from your company account for a discount code.

Registration Form

* Please note: this form requires JavaScript to function properly.
All fields must be completed unless otherwise noted.

General Registration Information

Company:  
Type of Firm:  
Industry Sector:  
Address 1:  
(If applicable)   Address 2:  
City:  
Postal / Zip Code:  
Province / Location:  
Contact phone number:  
Use as Billing Address?     (Check to save this as your billing address for payment)
How did you hear about the event?

Subscribe to the Chronicle?     Yes, please subscribe me to the Chronicle weekly newsletter. Each delegate will be sent a link to complete or cancel subscription and may unsubscribe at any time.

Subscribe to Canadian Underwriter?     Yes, please register me for a complimentary subscription to Canadian Underwriter magazine and daily newsletter. I understand that Insurance-Canada.ca will share my event registration information with Canadian Underwriter for the purpose of starting my subscription. I further understand that each individual I have registered below will also receive a message about subscribing to Canadian Underwriter.

 

Delegate Registrations

Registrant #1
First Name: Company email:
Last Name: Function:
Job Title:
Registrant #2
First Name: Company email:
Last Name: Function:
Job Title:
Registrant #3
First Name: Company email:
Last Name: Function:
Job Title:
Registrant #4
First Name: Company email:
Last Name: Function:
Job Title:
Registrant #5
First Name: Company email:
Last Name: Function:
Job Title:
Each of the Delegates above will receive a common Registration Confirmation email.
Below, please enter the name and email address of anyone who should receive a detailed invoice:
Name #1: Email #1:
Name #2: Email #2:

Registration Code

If you have received a registration code, please enter it below.

Registration code:   (Leave blank if not applicable)

Tax Status

13% Ontario HST (#896155777) applies to all registrations without an exemption number
HST-Exempt Canadian Organization —— please enter your tax-exemption number:

Total Payable & Payment

Your cart is empty. You must select a registration option to check out.
Subtotal:
Taxes Due:

Total fee payable:

PaymentPlease note the payment information below

I will be paying online with one of the following credit cards:   Visa   MasterCard   American Express   Discover
Please note: All transactions are subject to a three-day authorization period.


   

 

Payment Information

All dollar amounts are listed in Canadian currency. 13% Ontario HST will be added to all registrations.

Registration fees are due in advance by credit card (VISA, MasterCard, AMEX, or Discover).

Follow the online registration process above and a confirmation will be emailed to you for your records.

The information submitted through the registration form is used to process registrations and payments and to help us organize our relationships with those who attend our events. All information collected is subject to our privacy policy.

Refund and Cancellation Policy

All orders are firm once placed. No refunds are available; however, delegate substitutions are welcome at any time.

Insurance-Canada.ca Inc. reserves the right to change program date, meeting place or content without further notice and assumes no liability for these changes.

Questions

If you have questions or require assistance with registration or payment, please email info@insurance-canada.ca.