Registration form: Janina Fisher, PH.D. in Winnipeg May 9&10, 2019
Please fill out the form below and be prepared to pay by email or cheque. All receipts will be available for pick up on May 9th at the event.
Email address *
First & Last Name *
Your answer
Organization Name (if applicable)
Your answer
Phone number *
Your answer
How will you be paying for your conference ticket(s) *
How many tickets are you purchasing for this order *
Please note your registration is complete once we receive full payment by email or mail.
Your answer
If you are buying more than one ticket please list the First + Last names of each ticket holder here for registration purposes.
Your answer
Total order amount (please calculate) *
Calculation: Individual: $375.00. Groups: 3 to 7 is $355.00 each. Groups: 8 or more are $325.00 each. Full Time Student:  $325.00 each. Registrations after March 30 will pay an additional $20
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service