IHSA AGM 2020 Registration Form

Wednesday, October 7, 2020 – 9:00 AM

Due to COVID-19 this will be a virtual event using the GoToMeeting Platform
Details will be forwarded to supplied email address after registration

Event Details
The day will start with the IHSA General Meeting at 9:00 AM and then proceed directly to the PLMHSC Annual Co-Chair Meeting at 9:45 AM.
For more details about this year's Annual General Meeting event, download the agenda (Coming Soon).

Contact*

First Name

Last Name

Email*

Company Name*

Phone

Address*

Address Line 1

Address Line 2

City

Province

Postal Code

I am a:

Member of the IHSA Board of Directors Member of the Provincial Labour Management Health and Safety Committee Section 21 Current Co-Chair of an IHSA Regional, Trade or Sector Labour-Management Committee Member of the IHSA by virtue of the WSIB contributions paid by my employer

Please select which option best applies to you.

Once the registration form is submitted an email will be sent to the email address used on this registration form with the virtual meeting details complete with log in instructions.

Delegate 1

First Name

Last Name

Delegate 1 Email

I would like to add an additional delegate to this registration.

Check this box to add 1 more delegate to the registration. #2 Delegate will be added.

Delegate 2

First Name

Last Name

Delegate 2 Email

I would like to add an additional delegate to this registration.

Check this box to add 1 more delegate to the registration. #3 Delegate will be added.

Delegate 3

First Name

Last Name

Delegate 3 Email

I would like to add an additional delegate to this registration.

Check this box to add 1 more delegate to the registration. #4 Delegate will be added.

Delegate 4

First Name

Last Name

Delegate 4 Email

I would like to add an additional delegate to this registration.

Check this box to add 1 more delegate to the registration. #5 Delegate will be added.

Delegate 5

First Name

Last Name

Delegate 5 Email