TICP presents A Day with Nancy McWilliams, Ph,D. ABPP How many people are you registering? * 1 2 3 4 5 6 7 8 9 10 Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue". Your Registration Info Prefix (eg: Mr, Ms, Dr, etc) First Name * Last Name * Suffix (eg: Phd, etc) Phone Email Address * Event Fee(s) * In Person - General - $ 180.00 Virtual - General - $ 180.00 In Person - TICP Member, Guest Member, Faculty - $ 160.00 Virtual - TICP Member, Guest Member, Faculty - $ 160.00 In Person - Student - $ 100.00 Virtual - Student - $ 100.00 Total for this participant Payment Options Payment Method Pay by credit card E-transfer Option Credit Card Card Type - select - Visa MasterCard Amex Discover Card Number * Security Code * Expiration Date * -month- 01 02 03 04 05 06 07 08 09 10 11 12 -year- 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - Canada United States United Kingdom Province * - select Province - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Postal Code * Review