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
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