Please fill in the information, and then
click the "Submit Form" button at the bottom of page. Mandatory Field*
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Contact Information
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Status*:
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Last Name* |
First Name* |
Middle Initials |
Affiliation*
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Country*
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Mailing Address*
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Phone* |
Fax* |
Email* |
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Accommodation and Travel
Date of arrival (in Edmonton) (MM/DD)*
Date of departure (MM/DD)*
I will stay at
Lister Centre residence
Other
Hotels
Participants are responsible for making their own
accommodation arrangements.
The accommodation page listed
accommodation choices and information for reservation.
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Talk/Poster Abstract
I will give a presentation at the conference*
Talk
Poster
No
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Title of your presentation*
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Abstract of your presentation*
(LaTex codes are encouraged)
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Registration Fees (in Canadian Dollars)
The registration fee includes conference program, morning and afternoon coffee breaks,
receptions, conference banquet, and a BBQ dinner.
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Payment Options
Total payment:
Please select one
of the following payment options.
(1) By credit card online. (Note:
this is not a secure server.)
Card type:
Card number
Expiry date (MM/YY): /
Name on card:
(2) By credit card and fax.
Please download and fill out the hardcopy registration form,
and fax the form with your credit card information to:
Butler Conference (att'n: Dr. Michael Li) Fax number: 1 (780) 492-6826.
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Studentship Application
A number of Studentships (up to $1,000 each) are available to graduate
student participants, to partially offset their travel and local expenses for participating in
the conference. The amount of each scholarship will be determined by the actual individual expenses and the number
of applications.
Do you wish to apply for a studentship?
Yes
No
Please provide the following information if you are applying for the scholarship.
Name of your research supervisor/advisor:
Email:
Institution:
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Special diet and other needs, comments, etc.
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Return to the conference homepage
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