2022 Scientific Meeting & Trainee Symposium – NMIN – Nanomedicines Innovation Network

Name *

First

Last

Email *

What category of participant are you? *

Researcher or collaborator on an NMIN-funded project
HQP / Trainee
Guest

Please enter your guest code *

To complete your registration as a guest, you must enter a functioning guest code.

Affiliation *

Please indicate your main institutional affiliation (university, company, or other organization)

Cell number *

Please enter a cell phone number at which you will be reachedable during the days you attend this event. Please enter only the numbers: no spaces or hyphens/dashes.

Emergency contact *

Name, relationship, and phone number or other means of contact

Sorry, you cannot register as a guest without a functioning code.

Please contact NMIN's HQP & Events Coordinator, Leah Graystone, at leahgraystone@nanomedicines.ca for more information.

How many days do you plan to attend NMIN's 2022 Scientific Meeting? *

One day ($200)
Two days ($400)
All three days ($500)

How many days do you plan to attend this event? *

One day ($150)
Two days ($300)
All days: Scientific Meeting & Trainee Symposium ($400)

How many days do you plan to attend NMIN's 2022 Scientific Meeting? *

One day
Two days
All three days

How many days do you plan to attend NMIN's 2022 Scientific Meeting? *

One day
Two days
All three days

Which day(s) do you plan to attend? *

Thursday November 17
Friday November 18
Saturday November 19

Which day(s) do you plan to attend? *

Thursday November 17 (Scientific Meeting Day 1)
Friday November 18 (Scientific Meeting Day 2)
Saturday November 19 (Scientific Meeting Day 3)
Sunday, November 20 (Trainee Symposium)

Do you plan to attend the gala dinner on Friday evening (Nov 18)? *

Yes, I plan to attend the gala dinner
No, I do not plan to attend the gala dinner

Do you wish to register for the gala dinner on Friday (Nov 18) at the cost of $175?

Yes, I wish to register for the gala dinner at the cost of $175
No, I do not wish to register for the gala dinner.

Note: The gala dinner is included only with full registration. If you are registering for only one or two days, to attend the gala dinner you must register for it separately.

Do you wish to register one or more additional guests for the gala dinner at the cost of $175 each?

Yes, I wish to register one additional guest ($175)
Yes, I wish to register two additional guests ($350)
Yes, I wish to register three additional guests ($525)
No, I do not wish to register any additional guests

Do you plan to attend the Trainee Symposium on 20 November? *

Yes, I will attend the Trainee Symposium
No, I will not attend the Trainee Symposium

Do you have a food allergy? *

Yes
No

Food allergy details

Please list the food(s) to which you are allergic

Dietary needs

Vegetarian
Vegan
Other
I'll eat anything

If you have other dietary needs, please describe them

Do you need a hotel room booked for you? *

Yes, I need a hotel room to be booked for me
No, I do not need a hotel room booked for me

Please indicate the nights you will require a hotel room. Please note that, unless otherwise confirmed with NMIN Administrative staff, you will be expected to settle your hotel costs at checkout. *

Please select all that apply.

Please list the additional dates (nights) for which you will require a hotel room *

Comments or Questions

Total

$0.00

Please complete your registration by paying the corresponding fee. You will be re-directed to PayPal, where you can pay using your PayPal account or by credit card.