Donation

 

 

 


Cost for the day: $95.00, including lectures and workshops, lunch and coffee breaks.

To pay by cheque:
please print and complete the following registration form, make your cheque payable to Diffusion Focusing Quebec and mail both to 5075 Joseph-A.-Rodier, Montreal, QC, H1K 5C8, Canada.

Online Registration with a credit card

 

Mr  

Mrs 

 

First name

Last name

Address

City

State/Province

Country

Zip/Postal code

Telephone

Email

Confirm email

Fax number

 



 Amount to pay :    $ CAN

Suggestions

 


Credit card  Visa   MasterCard


  Card number :

  Expiry date (month/year) :

/

  Name on card :