Registration form for the conference
"Health and Populations in Conflict"

Note: This is an HTML form. You must have a browser that supports forms in order to use it. If you have difficulties, send email directly to omaf@med.mcgill.ca. To return to the conference page, please click HERE.

Registration fee is $40 for professionals, $15 for students (payable at registration).
(please email omaf@med.mcgill.ca if you have concerns about being able to meet the conference fee)

Please be sure to fill out all of the fields. (Comments are optional.)

General Information

Your name:

Postal address:

Email address:

Where do you study?

McGill University
Université de Montréal
Université de Sherbrooke
Université Laval
Université d'Ottawa 		Queen's University
University of Western Ontario
University of Toronto
McMaster University
Dalhousie University
Other (please specifiy in comments box below)

Occupation?

Student
Professional
Other occupation

Would you like to stay with another student?

Yes (please indicate any special requests/arrangements that you may need in the comments box below)
No
I don't know yet

Meal request?

Non Vegetarian
Vegetarian

Any comments?

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omaf@med.mcgill.ca