FORMULAIRE D'INSCRIPTION

Student: $40
Postdoctoral Fellow: $70
Faculty and other: $120

Title

Pronouns (for name badge)

First Name

Last Name

E-mail

Language

Would you like your name and email to be shared privately among the other participants?

Affiliation

Department

Affiliation Address

City

Zip Code

Please choose a country

Province

Please fill in if this address is different from the affiliation address.

Contact Address

City

Zip Code

Country

Province

Fees $ CAN

Total Fees

Total Cost

Arrival date

Date of departure

Would you be interested in purchasing a Conference T-Shirt?

Please enter any other information (as Allergies or food preferences).

For payment you will be redirected to the Moneris platform