Registration without committee

Sans comite - Formulaire inscription (Officiel)

Section 1

Last name

First name

Last name

Addresse

Local

City

Province

Postal code

Language

Français

English

Organization

E-mail

Phone number/Cell phone

Mobility information

I am a person with functional limitations

Oui / Yes

Non / No

Limitation

Specify

I need help and support for mobility and getting around

Oui / Yes

Non / No

Mobility

Specify

Considering my needs

The name and contact details of my companion or interpreter are :

Last name

First name

Last name

E-mail

Phone number

Traduction

Simultaneous translation into English would help me to better participate in this congress.

Do you have any dietary constraints or restrictions?

Dietary constraints

Oui / Yes

Non / No

Constraints

Specify

My workshop choices

Workshops A and B will be informed soon, and we will communicate with you to update your choices.

My choice of workshop A

My choice of workshop B

Cost per participant

Tarif non-membres: $ 630.57 CAD

TPS Non-Members

TPS: $ 31.53 CAD

TVQ Non-Members

TVQ: $ 62.90 CAD

Total Non-Members (before taxes)

TPS Non-Members

TVQ Non-Members

Total (taxes included):