REGISTRANT INFORMATION
Given Name:  Required
Surname:  Required
Address:  Required
City:  Required
Province / State:  Required
Postal Code:  Required
Country:
Telephone:  Required, Formatted as (000) 000-0000
Email:  Required
PREFERENCE OF TOPICS
1A 1B 1C
2A 2B 2C
3A 3B 3C
4A 4B 4C
5A 5B 5C
6A 6B 6C
7A Ancestry Friday
SPOUSE INFORMATION (if applying)
Given Name:
Surname:
 
REGISTRATION (Early - before April 1, 2018)
Register Early!  Fees increase April 1, 2018 to $170.00.
Number of Persons  @  $150.00  x  =
GALA BANQUET: Saturday May 19 - Hotel Omni Mount Royal
Registrants must apply for tickets if they wish to attend. Seating is limited. $75.00  x  =
MEALS - McGill University New Residence Hall
Lunch Saturday  @  $25.00  x  =
Lunch Sunday  @  $25.00  x  =
SEND REGISTRATION and CHECKOUT WITH PAYPAL
Human Validation
Check this box:
Enter code above:
Grand Total: