Home Accommodation Entertainment Exhibitors Pre-conference Workshops Program Speakers Sponsors Travel Menu Home Accommodation Entertainment Exhibitors Pre-conference Workshops Program Speakers Sponsors Travel Conference Participant Registration Tuesday, November 1-3, 2022 Victoria Conference Centre – Victoria, BCUnique IDName(Required) First Last Title Organization Division Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Are you a Certified First Nations Health Manager (CFNHM)(Required) Yes No Registration Fees(Required) FNHMA Member Non Member The conference registration fee includes all sessions, the opening reception, breakfasts, lunches, health breaks and the Wednesday reception and banquet.Reception and Banquet ticket for a guest(Required) Yes No You may purchase a ticket for a guest for the Wednesday, November 2 Reception and Banquet.Guest name(Required) First Last Are you GST exempt?(Required) Yes No Band's exemption certificate or letter(Required)Max. file size: 50 MB.Note: The workshop is being held in British Columbia where 5% GST applies. The FNHMA HST/GST number is 811344852. If your Indian band is GST/HST exempt, please upload a copy of the band's exemption certificate or letter. An individual's personal status card is not an accepted document for tax exemption for the conference or pre-conference workshop.HiddenDate MM slash DD slash YYYY HiddenTax $ 0.00 CAD Early-Bird Rate Member Price: +5% GST (if exemption not applied) | Your payment must be received by September 23, 2022 Early-Bird Rate Non Member Price: +5% GST (if exemption not applied) | Your payment must be received by September 23, 2022 Regular Rate Member Price: +5% GST (if exemption not applied) Regular Rate Non Member Price: +5% GST (if exemption not applied) Banquet ticket for GUEST Price: +5% GST (if exemption not applied)Total (including taxes) Payment(Required) Credit card Cheque (payable to FNHMA and mail to address below) Credit Card(Required) MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Cancellation / Substitution Please email your cancellation to email@example.com. Cancellations will be accepted until October 3, 2022 for a full refund. A $300 cancellation fee will apply for cancellations received between October 4 and October 7, 2022. There is no refund for cancellations received after October 7, 2022 and no refund for no-shows at the conference. Substitutions are accepted at any time. Accomodation We are holding a block of rooms at the Fairmont Empress Hotel at a rate of $199/night for a standard room or $229/night for a deluxe room plus taxes, in single or double occupancy. Our block of rooms is being held until we sell out or until Tuesday, October 11, 2022 at the latest. RESERVE NOW! Call the hotel at 1-250-384-8111 and refer to the FNHMA National Conference or to our room block code FNHM1021 OR visit Accomodation to make your reservation online.