Canadian Association of Neuropathologists
L'Association Canadienne des Neuropathologistes

Conference registration form, 56th annual meeting

Prince of Wales Hotel

Niagara-on-the-Lake, Ontario, Septmeber 28th - October 1st 2016


Please complete the following information:

  • Mandatory fields marked *


    Are you a member of the CANP?
    Yes
    No

    If you know your CANP member number, please enter it here:



  • If you are not a CANP member please complete the following boxes:







    Mandatory fields marked *


    Registration includes welcome reception, 3 breakfasts and 3 breaks.

    Choose one of the following five options:
    1. $350 prior to September 1st. $400 prior to September 28th. Onsite registration $425.
    2. $125 prior to September 1st. $150 prior to September 28th. Onsite registration $175.
    3. $125 prior to September 1st. $150 prior to September 28th. Onsite registration $175.
    4. $400 prior to September 1st. $450 prior to September 28th. Onsite registration $475.
    5. $125 prior to September 1st. $150 prior to September 28th. Onsite registration $175.

    Accompanying person(s) are welcome to join us for all breakfasts at a rate of $50/person.



    Annual banquet, Friday September 30th

    The cost for regular attendees and their guests is $155 per person.
    For CANP junior members and retired members the cost is reduced to $120 per person.

    If you have specific dietary requirements, please let us know.

    Peller Barrel Cellar, Peller Estates
      If you wish to attend the banquet:
      I prefer a vegetarian meal.
      I prefer a meat course.
      I prefer a fish course.

      Guest prefers a vegetarian meal.
      Guest prefers a meat course.
      Guest prefers a fish course.

      If you DO NOT wish to attend the banquet:
      I do not wish to attend the banquet.


    For CANP members only
    Dues for 2016 are $200 I have previously paid.
    I wish to pay now.
    I wish to pay later.

    Submit data to continue.