RAISE-GENIC Registration

Your Name*

Email address*

Please use the same email address your Interac eTransfer registration will be sent from.

Affiliation*

University and/or hospital you are representing.

Attendance*

I will attend the RAISE-GENIC meeting in Banff Thursday May 18, 2023

Dinner*

I will attend the RAISE-GENIC group dinner Wed, May 17, 6:30 pm at The Bison Restaurant and Terrace

Dietary restrictions

Please list any dietary restrictions

Accommodation

Please book your hotel directly with The Rimrock Resort Hotel or via your travel agent. The link below contains a Rimrock conference rate for RAISE-Genic, the BIES or the Western Epilepsy Symposium:

https://reservations.travelclick.com/113183?groupID=3715772
Telephone: 1 (403) 762-3356
Toll free: 1-888-RIMROCK (746-7625)

Payment

To confirm your attendance, please submit your registration fee as follows:

Canadian:

PI attendee: $700 CDN - Interac etransfer to CEPConference@ucalgary.ca A receipt will be emailed to you.
Other attendee: $150 CDN - Interac etransfer to CEPConference@ucalgary.ca A receipt will be emailed to you.

International:

Non-Canadian International PI attendee:
$700 CDN (All International attendees will receive Bank Wire instructions after registering.)
Non-Canadian International Other attendee:
$150 CDN (All International attendees will receive Bank Wire instructions after registering.)

Collection of personal information
Your personal information is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection or use of this information, please visit our Access to Information page.