1
Transaction
2
Personal information
3
Payment
FR
Conference on Addiction, Mental Health and the Law
Speakers and Planning Commitee Members Registration Form
Transaction
I wish to offer CIAJ my support. I am therefore registering at the rate of $545
$545.00
/ unit
x
$
=
Subtotal:
Total:
$
I will take advantage of the free registration
$0.00
/ unit
x
$
=
Subtotal:
Total:
$
I wish to sponsor a student registration
$95.00
/ unit
x
$
=
Subtotal:
Total:
$
I wish to become a CIAJ member
$200.00
/ unit
x
$
=
Subtotal:
Total:
$
I wish to make a donation to CIAJ
Subtotal:
Total:
$
Total:
$
DEADLINE FOR MATERIALS : JANUARY 15th, 2025
INCLUSIONS:
Coffee breaks, breakfasts, luncheons, reception and materials
ACCOMMODATION RESERVED BY CIAJ:
Hilton Hotel (145 Richmond St W, Toronto, ON M5H3M6)
Next
Time remaining in your session:
15
Time remaining in your session:
15
