Registration

REGISTRATION - Neurology Symposium 2015

Please complete this forme to secure your participation to the Neurology Symposium.

WHERE : Agora du Pavillon Jean-Coutu, UdeM (Montréal)
DATE : March 21th, 2015 (9h00 am)

* Indicates required field

Name *

First

Last

E-mail *

University *

Level class *

Would you like to have vegetarian meal? *

Yes, please. No, just a regular meal.

Submit

﻿REGISTRATION - Neurology Symposium 2015﻿

REGISTRATION - Neurology Symposium 2015