Event Wizard® by DotCom Your Event Inc.®
 
 

*** Please use ONE online form PER registrant! ***

REGISTER EARLY and get the EARLY BIRD RATE before December 31st, 2019
 
 
 
 
Member: Active member of VTC, ACBO, BABO, BOAFCOMOF, NORA & SIODEC. Non-Active members will be invoiced the difference.
Non-Member: Active non-member optometrists and allied health care professionals.
Student: Active student in a School of Optometry and not yet graduated.
 
 
Become a VTC member today!
 
 
Kindly select ONLY ONE appropriate registrant type and corresponding fee
** EARLY BIRD RATE **
Additional or Companion Social Event Tickets
Thursday Therapists Reception
(RSVP required)
Friday Sip and Share Reception
Saturday Dinner Gala/Awards Banquet
(Space is Limited)

FRETZ SCHOLARSHIP FUND
 
program they need.  
 
THANK YOU IN ADVANCE FOR YOUR GENEROUS DONATION!

Main Contact Information
 
** Note: Kindly use an e-mail address that is different from your associate, your doctor, your co-worker, etc. in order to receive communication from VTC or individual lecture notes that may be sent electronically a few weeks prior to the course. VTC is not responsible for documents or messages not reaching registrants with a shared e-mail address.
Clinic / Office Information

CANCELLATION POLICY
 
A non-refundable fee of 20% of registration fees is charged if cancelled within one month of the event. No refund for cancellations received within two weeks of the event.

Kindly verify the information you have provided above is correct. Once you Submit/Register/Pay the form, you will be redirected to a PayPal payment link where you can make your final payment. If you do not have a PayPal account, payments can still be completed with a major credit card through PayPal. Just follow the instructions on the PayPal link. 
 
** PLEASE NOTE FULL PAYMENT IS REQUIRED TO COMPLETE YOUR REGISTRATION! **
 
*Please choose at least one fee before continuing
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