IRMS Conference 2018

Registration Form

STEP 1 - PARTICIPANT INFORMATION
Name *
Name
Date of Birth *
Date of Birth
Cell Phone *
Cell Phone
*
STEP 2 - PAYMENT
SELECT YOUR FEES
All payments are final.
A very limited number of rooms is available in charming local hotels for conference participants and will be assigned on the first come basis (walking distance to conference and concert venues). Add hotel payment to your registration payment and include a note or email with detail (July 10-14, 4 nights or more/less, and names of people in your party).
MY PAYMENT IS MADE TODAY BY *
ORFEO SCHOLARSHIP FUND TAX-DEDUCTIBLE CONTRIBUTION
Yes, I/my relative or friend would like to make the following tax-deductible contribution in the amount of:
STEP 3 - SIGNATURE