Registration form - Before registering, please make sure your Concur Travel Profile is up to date.
First Name (as it appears on government issued ID you will be using to travel with)
Middle Name (as is appears on government issued ID you will be using to travel with. Type N/A if not applicable.)
Last Name (as it appears on government issued ID you will be using to travel)
Work Email
I will be present at the LNM of January 2024: Reason
I have advised my manager, and received approval. Gender (as it appears on government issued ID you will be using to travel with) Date of Birth (MM/DD/YYYY)
Work Number (xxx-xxx-xxxx)
Departure Airport (outbound)
How far are you from the departure airport? (duration)
Preferred time to travel: Preferred time to travel: AM PM
Arrival Airport (inbound)
How far are you from the arrival airport? (duration)
Preferred time to travel Preferred time to travel AM PM
Seat Selection Preference *not guaranteed at the booking time but can be purchased and expensed as per the T&E Policy. Frequent Flyer Number (ex. Aeroplan, Westjet Rewards, VIPorter)
Department Please select LCLT Business Insights Customer Engagement Finance IT Solutions Legal and Compliance Market Access Medical Education MIPV MSL Neurology Business Unit People and Communications Psychiatry Business Unit Quality Assurance Regulatory Affairs Scientific Advisors Events
Allergies(not just food) / Dietary Restrictions /Do Not Eat (if yes, please specify) Please specify:
Medical Conditions/Accessibility Requirements (if yes, please specify): Please specify
Emergency Contact Information
Emergency Contact Name
Emergency Contact Number
Emergency Contact Relationship
Travel Arrangements
Arrival date for Commercial and Cross-functional teams is January 21, and for the Head Office is Thursday January 25, 2024. All participants are scheduled to depart on Friday January 26.
** Once we have your information, you will be sent flight itineraries that have been predetermined based on previously set transfer schedules. Should you choose to extend your stay, you’ll be responsible for arranging and paying for your own transportation back to the airport, as well as handling any changes to your travel itinerary.**
Will you be extending your trip before the meeting? Will you be extending your trip After the meeting? Travel Request/Comments
Accommodation
If you are a member of a Commercial or Cross-functional team, your hotel room at the Marriott Château Champlain Montreal will be booked for the dates of Sunday January 21 to Thursday, January 25, 2024. For Head Office participants, the date is Thursday January 25.
** Any requests for hotel extensions prior or after the meeting must be made directly with the hotel after December 23, 2023. Group rate of 275$/night is available (2) days before, and (3) days after the official program dates. All extensions will be at your own expense and are subject to availability. Should you extend your stay, you will also be responsible for arranging your own return airport transfer. **
Hotel Special Requests (no guarantees)
Is there anything else we can do to make your experience memorable? (While we can’t guarantee it’s possible, we’re happy to consider your request.)
After registering, you will receive a confirmation email that includes the travel information you submitted. Please review these carefully to make sure that the information is accurate within 24h of submission time, if there are any changes on your side, you are responsible to advise Vi-Van Phan by email before December 6, 2023, 11:59:59 EST to avoid any fees.
English 
Français 
