Forms by Synapse MedCom

1.

Name

First name

Last name

2.

Mobile phone number

3.

Email

4.

Please select all nights you will be staying at Sutton Place Hotel Vancouver

The cost of up to 2 nights will be covered.

Friday, Oct 2

Saturday, Oct 3

5.

Do you require a flight to and from this meeting?

Yes

No

6.

Do you collect travel rewards?

Yes

No

7.

In case of emergency, who is the best person to contact?

Please provide name, relationship to you and phone number.

8.

Do you have any food allergies or dietary restrictions?

Yes

No

9.

Are there any other special requirements that you will need accommodated?

Yes

No

10.

Any questions or comments?

The Frontiers SuMMit