Registration-Modele

REGISTRATION FORM

Personal Information

Are you a member of the Canadian Operational Research Society (CORS)?

Yes No

Question for CORS member only. If you are not a CORS member, please continue to next question
If you are a CORS member, please indicate if you will be attending the CORS Banquet on Tuesday, July 18, 2017 (for regular, retired and emeritus CORS members only):
*If you will have an accompanying person at the CORS Banquet, please contact us at ifors2017@agoracom.qc.ca.

Yes No

*Greeting

Dr. Mr. Ms.

*First name

*Last name

*Organization

*Phone number

Fax

*Email

*Address 1

Address 2

*City

*Postal/Zip Code

*Country/Region

*Province/State

Billing address

As it appears on your credit card statement

Same as above

*Address 1

Address 2

*City

*Postal/Zip Code

*Country/Region

*Province/State

Dietary Restrictions

*I will need an invitation letter for my visa application**:

Yes No

**If you require an invitation letter, please fill out the form available here and send it back with a copy of your passport at ifors2017@agoracom.qc.ca or by fax at 1 418 658-8850.

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Registration Package

Registration Packages

*Members of the Canadian Operational Research Society (CORS) as of January 15, 2017 get one (1) year of free membership by registering to IFORS 2017. Registration fees for CORS members include the CORS Luncheon & AGM (open to all CORS members) and the CORS Banquet (open to award nominees and to regular, retired and emeritus CORS members only). Both activities will take place on Tuesday, July 18, 2017.

Registration type	Early bird registration Before or on April 15, 2017	Regular registration From April 16, 2017 to May 31, 2017 inclusively	Late registration After May 31, 2017 and on-site
Regular Delegate	$950 CAD	$1,200 CAD	$1,300 CAD
Student	$400 CAD	$400 CAD	$400 CAD
Accompanying person	$155 CAD

*All prices are in Canadian dollars (CAD)

Social Activity

Social Activity	Rate
IFORS Banquet (Thursday, July 20, 2017)	$95 CAD + 15% taxes per ticket

*All prices are in Canadian dollars (CAD)
*Taxes (15%) apply to tickets for social activities

*For exchange rates, consult http://www.bankofcanada.ca/rates/exchange/daily-converter/.

Registration fees for Regular Delegates or Students include:

Access to all scientific sessions
Access to the exhibition hall
Access to the Welcome Reception (Sunday, July 16, 2017)
Coffee breaks
Half-day tour (Wednesday, July 19, 2017 PM)
*Please note that the registration does not include a ticket for the IFORS Banquet

Registration fees for Accompanying Person include:

Access to the Welcome Reception (Sunday, July 16, 2017)
Half-day tour (Wednesday, July 19, 2017 PM)
*Please note that the registration does not include a ticket for the IFORS Banquet

*Registration Package:

Regular Delegate ($1,300 CAD)

Student ($400 CAD)

To benefit from the student discount (including doctorate and post-doctorate), you must send proof of your full-time registration as a student for Winter 2017, Summer 2017 or Fall 2017, such as a copy of your student ID, schedule or letter from supervisor, by email at ifors@agoracom.qc.ca or by fax at 418 658-8850.

You can also upload a picture or a file (student ID or schedule) here.

Social Activities

*Welcome Reception (Sunday, July 16, 2017)
For sound management purposes, please indicate if you will be attending the Welcome Reception (included in all registration packages):

Yes No

*Half-day tour (Wednesday, July 19, 2017 PM)
For sound management purposes, please indicate if you wish to participate to the half-day tour (included in all registration packages). For all details on the half-day tours, click here. If some options do not appear here, it is because they are full.

Visit of Old-Quebec by walk

I do not wish to participate

Banquet (Thursday, July 20, 2017)
If you wish to attend the Conference Banquet, please select the number of ticket(s) needed here:

Accompanying Person

If you wish to register an Accompanying Person, please select this option and complete the information.
If you wish to registrer more than one (1) Accompanying Person, please contact us at ifors2017@agoracom.qc.ca.

One (1) Accompanying Person ($155 CAD)

Please complete the information on the Accompanying Person:

Greeting

Dr. Mr. Ms.

First name

Last name

Dietary Restrictions

Welcome Reception (Sunday, July 16, 2017)
For sound management purposes, please indicate if your Accompanying Person will be attending the Welcome Reception (included in all registration packages):

Yes No

Half-day tour (Wednesday, July 19, 2017 PM)
For sound management purposes, please indicate if your Accompanying Person wish to participate to the half-day tour (included in all registration packages). For all details on the half-day tours, click here. If some options do not appear here, it is because they are full.

Visit of Old-Quebec by walk

My Accompanying Person does not wish to participate

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Payment

Promotional code:
If you have a promotional code, please enter it here and press APPLY.

Subtotal

GST

QST

Total

Payment Mode

*Card number

*Name on the card

*Expiration

*Card Security Code (CVC)

Transactions by credit card will appear under AGORA COMMUNICATION on the credit card holder's statement. A confirmation notice will follow shortly. If payment is requested by cheque, an invoice will follow with the pertinent information. Payment must be received in full upon reception of the invoice, in Canadian dollars (CAD) and drawn from a Canadian bank.

Cancellation policy:
Cancellations must be sent in writing, either by fax at 1 418 658-8850 or by email at ifors2017@agoracom.qc.ca.
Delegates who cancel on or before June 17, 2017 will be refunded minus $125 CAD administration fees. The refund will be sent after the conference. There will be no refund for any cancellation after June 17, 2017.
By clicking « Submit », I declare having read, understood and accepted the cancellation policy.

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