Optometrist/Ophthalmologist Name * Email Address * Friday, October 13, 2023 Check all that you will attend 8:00 am - Buffet Breakfast (complimentary with Full CE or member/guest @ $25) 9:00 am - Diagnosis and Management of Glaucoma ($60 for Members & Non-Members, $30 for New Grads) 10:00 am - IOL Considerations in Patients with Glaucoma ($60 for Members & Non-Members, $30 for New Grads) 11:15 am - Reconciliation, Racism, and Healthcare ($60 for Members & Non-Members, $30 for New Grads) 12:15 pm - Lunch (complimentary for Full CE attendees or member/guest @ $35) 1:45 pm - Know when to Hold'em (complimentary with Full CE or $60 for Members & Non-Members, $30 for New Grads) 3:15 pm - Know when to Fold'em (complimentary with Full CE or $60 for Members & Non-Members, $30 for New Grads) 4:30 pm - Demystifying Uveitis with Multimodal Imaging (complimentary with Full CE or $60 for Members & Non-Members, $30 for New Grads) 5:30 pm - Happy Hour Social (complimentary for Early Birds or Members/Guests @ $30) Saturday, October 14, 2023 Check all that you will attend 8:00 am - Buffet Breakfast (complimentary with Full CE or member/guest @ $25) 9:00 am - 5 Things Optometrists should know about the Retina ($60 for Members & Non-Members, $30 for New Grads) 10:00 am - Update on New Therapies for AMD ($60 for Members & Non-Members, $30 for New Grads) 11:15 am - The Disappearing IOL ($60 for Members & Non-Members, $30 for New Grads) Fee Totals & Payment Information What is your total amount owing including 5% GST on all fees? Early Bird Full CE for members and non-members is $378 ($360 + GST), Full CE for new grads is $189 ($180 + GST) How will you be paying? I will mail a cheque payable to Manitoba Association of Optometrists I will pay through my bank Bank payments can be made through CIBC, BMO, RBC, Scotiabank, TD, or most Manitoba Credit Unions by online banking, phone banking, or at your branch. To pay through your bank, you will need your account number, which is M followed by your 3-digit MAO registration number. Find us listed as Manitoba Association of Optometrists or MB ASSOCIATION OF OPTOMETRISTS (depending on the bank). If you are asked for a longer account number, add zeros at the end. Special Dietary Requests Please indicate if you or your guests (include guest name) have any dietary requests: New checkboxes My dietary request or my guest's is due to an ALLERGY Submit Leave this field blank
