ANAPHYLAXIS NETWORK OF CANADA

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Annual General Meeting & Educational Conference

Sunday, May 6^th 2001, 1:00 p.m. to 5:00 p.m. Registration from 12:15 p.m.

Mt. Sinai Hospital, 18^th Floor Auditorium, 500 University Avenue, Toronto, Canada

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Annual General Meeting Anaphylaxis Canada: An introduction to the new organization Jane Salter & Caroline Thomas, Anaphylaxis Network of Canada & Michael Price, Anaphylaxis Foundation of Canada	�
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REGISTRATION FORM	�
Please indicate for self and guests:� M - Member (includes spouse and children) or NM - Non-member	�
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Name	�	Other Attendees:	�	�	�	�	�
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Address	�	Name	�	�	�	�	�
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City / Postal Code	�	Name	�	�	�	�	�
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Telephone (Day)��	Telephone (Evening)	�	Name	�	�	�	�	�
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Fax	Email Address	�	Name	�	�	�	�	�
PAYMENT� *Register early! As space is limited, we might not be able to accommodate late registrants on May 6^th.* Fastest way: Phone 416-785-5666, Fax 416-785-0458 or email [email protected]. Mail cheque to: Anaphylaxis Network of Canada, 416 Moore Avenue, Suite 306, Toronto, Ontario� M4G 1C9. Payment must accompany registration form. Allow 7 days for confirmation receipt. Registration form can be downloaded from www.anaphylaxis.org.
�	�	�	�	�	�	�
AGM & Conference	Member	�	Non- Member	�	Sub-Total	�
Early Bird Rate - by April 20, 2001	�	�	x $25	�	x $30	�	�
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After April 20, 2001	�	x $30	�	x $35	�	�
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�	Membership (R � Renewal / N � New)	R	�	N	�	�	�
�	Family ($35)	�	�	�	�	�	�
�	Camp / Daycare / School / Health Professional ($50)	�	�	�	�	�	�
�	Corporate ($100)	�	�	�	�	�	�
�	�	�	TOTAL	�	�
�	�
�	Visa	�	MasterCard	�	�	Expiry	�	�	�	�
�	�	�
�	Signature	�	Cheque payable to Anaphylaxis Network of Canada	�

Annual General Meeting

Anaphylaxis Canada: An introduction to the new organization

Jane Salter & Caroline Thomas, Anaphylaxis Network of Canada & Michael Price, Anaphylaxis Foundation of Canada

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Anaphylaxis in the Camp Setting

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Presentations on issues faced by children, parents, camp directors, and health care professionals

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�� Anaphylaxis: Know the facts, Dr. Milton Gold, MD, FRCP (C)

�� Importance of MedicAlert� identification for anaphylactic individuals, Jack McLaughlin, Education Coordinator, Canadian MedicAlert� Foundation

�� Tips: Choosing a camp and preparing your child, Laurie Harada

�� Addressing the needs of anaphylactic campers, Bev Unger, RN, Robin Hood Camps

�� Special considerations for overnight camps, John Malcolmson, Director, Camping Operations, Catholic Youth Organization, Hamilton

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REGISTRATION FORM

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Please indicate for self and guests:� M - Member (includes spouse and children) or NM - Non-member

�

Name

�

Other Attendees:

�

Address

�

Name

�

City / Postal Code

�

Name

�

Telephone (Day)��

Telephone (Evening)

�

Name

�

Fax

Email Address

�

Name

�

PAYMENT� Register early! As space is limited, we might not be able to accommodate late registrants on May 6^th.

Fastest way: Phone 416-785-5666, Fax 416-785-0458 or email [email protected]. Mail cheque to: Anaphylaxis Network of Canada, 416 Moore Avenue, Suite 306, Toronto, Ontario� M4G 1C9. Payment must accompany registration form. Allow 7 days for confirmation receipt. Registration form can be downloaded from www.anaphylaxis.org.

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AGM & Conference

Member

�

Non- Member

�

Sub-Total

�

Early Bird Rate - by April 20, 2001

�

x $25

�

x $30

�

After April 20, 2001

�

x $30

�

x $35

�

Membership (R � Renewal / N � New)

R

�

Family ($35)

�

Camp / Daycare / School / Health Professional ($50)

�

Corporate ($100)

�

TOTAL

�

Visa

�

MasterCard

�

Expiry

�

Signature

�

Cheque payable to Anaphylaxis Network of Canada

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HOW DID YOU HEAR ABOUT THIS EVENT?

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AN Newsletter/website

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Friend or Relative

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OCA

Other:

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