RegistrationForm

Delegate information
Title
First Name*
Last Name*
Institution or Affiliation*
Job title*
Mailing address*
City*				Prov./State
Country*
Postal Code/Zip				Tel.*
Email*

Registration option*
Workshop				Observership
April 26, 2010				April 26 - 28, 2010
June 14, 2010				June 14 - 16, 2010
October 18, 2010				October 18 - 20, 2010

Payment information*
VISA	MasterCard				Bank Transfer
C.C. Number					Transfer Reference
Expiry					Bank

Secretariat
687 Pine Avenue West
Rm. F9.04
Montreal, Quebec
Canada H3A 1A1

Tel. +1.514.843.1729
Fax. +1.514.843.1476
Contact Us

Site Last Updated:
04/08/2010 03:33:36 PM