This website is undergoing construction. Please note that some of its information may be outdated.
   
For your convenience, we have provided two methods of registration.  You have the choice to either complete the online form below or download the PDF version ( 105 kb ) of the registration form.  Please be aware that you must have the Adobe Acrobat Reader installed to open the downloaded file.
Registration Form
  Fields marked with an asterisk (*) are required fields.
   
Personal Information
* First Name Middle Initial * Last Name
* Gender
   
Contact Information
* Home Phone
  Work Phone
  Mobile (Cellular/Pager)
* E-mail Address #1
  E-mail Address #2
   
Address
* Street Address
* Apartment Number
* City
* State/Province
* Country
     
Present Employment/Education Status
 
   
If employed, what is the name of your current employer?
 
     
For students:
  What is the name of the educational institution that you attend?
 
  Degree/diploma expected:
 
  Major:
 
   
How did you hear of PharmaCollege?
 
 
Auxiliary Services
The One - Day Seminar (See Silver, Gold, and Platinum packages below.)
On-line Seminars (coming soon!)
Resume Services - Professional resume services from experienced pharmaceutical sales managers.
 
Resume critique (evaluation and suggestions) $145.00
Cover letter critique and evaluation $75.00  
Both cover letter and resume critique and evaluation $195.00  
     
Career Counselling:
  Can't make it to our seminars? Pharmacollege seminar leaders (experienced
pharmaceutical sales managers) are available by appointment to provide you
with the most cogent advice available regarding helping you leverage your education and experience in order to help you break into the pharmaceutical industry!
  Individual career counselling: $95 / hour.
   
Registration - Choose the package that you would like to register for:
  Silver ($295.00) Gold ($595.00) Platinum ($1195.00)
     
Discounts: Please check all that apply (Discounts are cumulative)
  Student Online Registration Early Bird
  All discounts are $50 ($100 for platinum package)
Your Total Billed:
 
     
What seminar are you interested in attending?
 
    Seminars held in Canada are subject to 7% GST.
    Click here if your seminar is located in Canada.
* How would you like to pay for the PharmaCollege workshop?
     
  * Method of Payment
  Credit Card No.        
  Name (appearing on card)
 
  Expiry Date:
  Month (MM) Year (YY)
     
Note: Credit card information will be manually processed by Vanguard Pharma.  A receipt will be available at the registration desk on the day of the workshop.
If you are choosing to pay by cheque/money order, please make it payable to Vanguard Pharma, and send it to:
   
PharmaCollege
c/o Vanguard Pharma
P.O. Box 20034
St. Thomas, ON
N5P 4H4
   
Please NOTE: If paying by cheque/money order, the payment must be received by PharmaCollege no later than 5 days before the workshop date in order for your registration to be secured. If this is not possible, please pay by credit card.

*Your Information is kept secure within Vanguard Pharma and is not distributed to any third party companies.
   


 




















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