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REGISTRATION
Topology and supervision - A day in memory of Norbert Schlomiuk
January 15, 2022
* MANDATORY FIELDS
IDENTIFICATION*
TITLE*
Ms
Mr
Dr
Professor
Professor Dr
NAME*
Given Name
Family Name
OCCUPATION*
FACULTY/RESEARCHER - WITH GRANT
FACULTY/RESEARCHER - WITHOUT GRANT
POSTDOCTORAL FELLOW
GRADUATE STUDENT (2ND AND 3RD CYCLE)
UNDERGRADUATE STUDENT
ELEMENTARY OR SECONDARY SCHOOL PROFESSOR
INDUSTRIAL RESEARCHER (Industry, Finance, etc.)
UNEMPLOYED
SELF-EMPLOYED
Other
Gender* (for statistical purposes)
Female
Male
Prefer not to answer
Language of correspondence*
English
Français
AFFILIATION*
Affiliation
Department
Address of Affiliation
City
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CORRESPONDENCE ADDRESS
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Correspondence address
Address
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TELEPHONE (with dialing code), EMAIL ADDRESS AND WEB SITE
Email address*
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Web Address
Twitter
REGISTRATION FEES*
Registration fees are non-refundable.
Registration Fees $CAN
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On-site participation
Online participation
TOTAL FEES
Total fees $CAN
PAYMENT *
Only payment by VISA or Master Card is accepted. Integrated debit credit card refused.
Credit card information must be valid until the beginning of the workshop.
The following amount will be debited from your credit card.
Payment Card
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MISCELLANEOUS INFORMATION
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