Registration Form

Contact Information

Prefix :

First Name*:

Last Name*:

Hospital / Institution*:

Position and/or Title*:

Business Address*:

Street Address*


City*	Province / Territory / State

Postal/ZIP Code*	Country*

Email*:

Email (verify)*:

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Tel. Number :

Registration Options
Conference Dates: December 3 - 4, 2024

- Single day (Day 1 or Day 2): (CAD) $749.00 (plus tax);

- Both days (Day 1 and Day 2): (CAD) $1299.00 (plus tax);

All delegates are expected to settle outstanding payments no later than November 29^th, 2024.

Cancellation Policy: No cancellations. Registrations may be transferred to another person at no cost. If this is necessary, please contact us to register such change: SREMI.

SREMI reserves the right to cancel or reschedule the event.

Select all that apply:

Sorry, the registration is at capacity. EDAC Conference
Day 1
Day 2
Speaker
Working at the Conference

Submit (or Update) your selections to access the payment section appended at the bottom of the form.

Comments:

To contact the organizers of the event please email: EDAC Conference.

https://www.sremi.ca/edac