Personal Information
Name:
Role:
Email:
Phone:
Organization:
Address:
Program / Course Chosen
Program:
Course:
Base Price
CAD
Number of seats
Qty
Subtotal
CAD
Discount
- CAD
Discount Applied
CAD
Tax
CAD
Subtotal
CAD
TOTAL
CAD
Pay by Card
Health Innovation Action uses 256 bit AES encryption. All data is secure using TLS and processed via a PCI certified payment gateway. No payment card data is retained by Health Innovation Action.
Upon completion of your payment, you will receive a receipt by email.
Personal Information
Name:
Role:
Email:
Phone:
Organization:
Address:
Program / Course Chosen
Program:
Course:
Base Price
CAD
Number of seats
Qty
Subtotal
CAD
Discount
- CAD
Discount Applied
CAD
Tax
CAD
Subtotal
CAD
TOTAL
CAD
Pay by Electronic Funds Transfer or Cheque
Payment Directions
1. Cheque payment
Make cheques payable to:
Health Innovation Group (HIG) 112 Parkview Place SE, Calgary, AB, T2J 4W5
There is fee of $5.00 CAD included when processing cheque payment.
2. Electronics Funds Transfer
Institution Number: 003
Account Number: 1341015
Transit Number: 00009
Routing Number (ABA Number): 021000021
SWIFT Number: ROYCCAT2
3. Interac Transfer
For organizations paying by E-Transfer, the payment should be sent to:
Improve@healthinnovationgroup.ca