Register

Name *

Institution *

Occupation *

Email *

Phone *

Registration Type *

• Scientific
• Student
• Retiree
• Vendor / Bronze sponsor

Number of Companion Tickets Required *

Are you planning to attend the social event on Thursday March 12, 2020 (location TBD)? *

• Yes
• No

Do you plan to attend the dinner banquet on Friday, March 13th? *

• Yes
• No

Are you planning to attend the Explore Victoria Walk on Saturday March 14, 2020? *

• Yes
• No

Are you planning to stay in Victoria on Saturday March 14, 2020 and would you be interested in joining us for a pub night? *

• Yes
• No

How will you be paying your fees? *

• E-transfer to sconnors@ualberta.ca
• Cheque to WESCAN Dept Medical Physics, CCI 11560 University Ave Edmonton, AB, T6G 1Z2

Comments (please include dietary restrictions, if applicable)

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