2017 Executive Forum: Registration

ICEF2017: “Insurance: Connected”

Tuesday, August 29, 2017, at the Sheraton Centre Toronto Hotel

'Insurance: Connected' - 2017 Insurance-Canada.ca Executive Forum (ICEF2017)

2017 Forum Overview
Registration & Fees
Presentation Topics
Venue & Accommodations

Sponsorship Opportunities
Sponsor Directory
Photos from 2016
Executive Forum Index

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Online Registration

Use this form to register attendees for the 2017 Insurance-Canada.ca Executive Forum.
Early-bird rates are in effect until Friday, July 14. Register today and save!
Registration fees are shown below. For assistance and inquiries, please email info@insurance-canada.ca.

    Regular Delegates Insurance Practitioners (Insurers and Brokers)
Early-Bird Discount Register by Friday, July 14, 2017, and save more than 10% on registration fees.
Registration Fee $975.00  $850.00 $850.00  $750.00

Delegates registering at the Insurance Practitioner rate
must use their corporate email address.

* The form below requires JavaScript to function properly. All fields must be completed unless otherwise noted.

General Registration Information

Type of Firm:  
Industry Sector:  
Address 1:  
(If applicable)   Address 2:  
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?

Delegates have the option of a complimentary subscription to the Chronicle weekly newsletter. Each delegate will be sent a link to complete or cancel subscription and may unsubscribe at any time.

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Registrant Details

Anyone registering at the Insurance Practitioner rate must use a recognized corporate email address.

Registrant #1
First Name: Company email:
Last Name: Function:
Title: Registrant Type:
Registrant #2
First Name: Company email:
Last Name: Function:
Title: Registrant Type:
Registrant #3
First Name: Company email:
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Title: Registrant Type:
Registrant #4
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Title: Registrant Type:

Registration Confirmation: Each registrant above will receive a confirmation email.
Invoice Details: Enter below the contact information of anyone who should receive a detailed invoice.
Registrant #1 is copied here by default but you may specify someone else instead or in addition.
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

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I will be paying online with one of the following credit cards:   Visa   MasterCard   American Express   Discover
Secure Electronic Payment Processing
Please note: All transactions will be held for a five-day authorization period.
At the end of that time, a credit card receipt will be emailed to you.



Payment information

All dollar amounts are listed in Canadian currency. 13% HST (Ontario) 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.

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.


Please email info@insurance-canada.ca with any registration questions.