12th Annual Atlantic Uro-Oncology Group (ACUOG) Meeting

Registrant Information

Required Fields

Prefix

First Name

Last Name

Position

Organization

Billing Address

City

Province

Country

Postal Code

Phone Number

Fax

Assistant email

Royal College ID Number

Special Dietary Requirements

Dietary Requirements

Registration Fees - in Canadian Dollars (CAD)

$86.25 CAD
Regular Rate for physicians (after October 15th) - $75 CA plus $11.25 taxes

$115.00 CAD
Industry registration rate - $100 CA plus $15 taxes for Meeting Sponsors only

We Accept MasterCard or VISA

Payment Method

I hereby confirm my registration.