Astrobiology & the Origins of Life - Conference & Workshop 2005

Conference Registration - Workshop Application

Conference Registration

Family name:

Given name:

Title:

Institution:

Department /
Research Area:

Address:

Address 2:

City:

Province/State:

Postal/Zip Code:

Country:

Email:

Phone:

Fax:

Attending Student/
Supervisor:

Registration Fee (Compulsory) - Please select ONE of the following options

Inivted Speaker (no fee)
Members of McMaster University (CDN$175)
All other student participants (CDN$220)
All other non-student participants (CDN$250)

This registration fee covers attendance at the conference, refreshments during morning and afternoon breaks, lunches on 24th-28th May inclusive, and bus tickets for travel between hotels and McMaster campus. Accommodation must be booked and paid for separately - see the Accommodation page.

Optional
Conference dinner (Friday May 27) (CDN$50)
Excursion to Niagara Falls (Thursday May 26) (CDN$30)

Payment method:
(note Visa & Mastercard only for credit card payment)

Online payment will not be available at this time. You will be taken to a payment form that can be printed out for faxing or mailing after submitting this registration form.

Please select your presentation type:

Not giving a presentation
Talk
Poster
Talk and Poster

>> Note
If you are an invited speaker or have a talk or poster you would like to present, please fill out the Abstract Submission form (located under Abstracts in the menu) once you have completed registration.

Are you interested in participating in the workshop?

Please email origins@mcmaster.ca if you have registration questions.

Back to the Origins Institute