Name: (for badge)

E-mail:

Full address:

Conference Fee :

CNRS member $100

Student (university, college, or other) : free (conference fee waived)

Membership CNRS Mandatory - New / Renew:

I am already a member of the CNRS: yes/no

Canadian: Individuals $80; Institutions: $95;
Students $25; ECR $45

International: Individuals $80; Institutions $105;
Students $35, ECR $55

Payment - [please use printed form for payment by cheque.]

Visa: Exp:

MasterCard: Exp:

Comment:

AGM only : please email Meaghan Walker at t95mjw@mun.ca with the subject "CNRS AGM"