CFHT UM2013 - Registration Form

6-8 May, 2013, Campbell River, Vancouver Island, Canada

EARLY REGISTRATION & ABSTRACT SUBMISSION 9 JANUARY 2013

[Note: Participants' presentations will be confirmed by 15 February]

REGISTRATION DEADLINE - 6 MARCH 2013

Contact Information

First Name*
Last Name*
Institution*
Address*
Address2
City*
State*
Zip/Postal Code*
Country*
Phone*
Email Address*
*Required fields

Meeting Dinner

I would like to attend the meeting dinner
I would like to purchase additional guest dinner tickets at $40 each
Enter number of guest tickets
Special Meal Requirements

Presentation

PresentationI intend on making a presentation
Presentation Type Select Preference Oral Poster No Preference
Title
Abstract
Please confirm your entries above before clicking the submit button.

NOTE

Contact information, information regarding the conference dinner and the presentation may be updated at a later time, using the same email address used at the time of registering. The deadline to submit an abstract is 9 January 2013.

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