Untitled 1
Canadian Society of Microbiologists Untitled 1

Untitled 1

ANNUAL CONFERENCE  ::  Exhibitors & Sponsors  ::  Exhibitor Registration Form

Exhibitor Registration Form

Fill in the Exhibitor Registration form and click the Continue button.
You will receive a Confirmation Email once the CSM has received your registration.

CSM 67th Annual Conference
6/20/2017 - 6/23/2017
Waterloo, ON
University of Waterloo

Advance registration for the conference is required.

Reservation deadline: May 12, 2017

The Organizing Committee will complete allocation of space; space will be allocated as requests are received.

Contact Information
Last Name *   First Name  * 
Name of Rep(s) participating at the booth *
Company *
Address *
City *
  Province *    Postal Code * 
Country * Canada    Other: 
Work Phone  
  Fax    Cellular phone 
Email *

Booth Information
Please indicate what kind of equipment and the electric requirements you will be bringing. There is limited electric capabilities at the PAC.
Electrical supply required?    
Electrical & Additional Needs for Booth

Registration Fees
All fees are quoted in Canadian dollars (HST # R825240674). Tax is charged at 13% HST for the province of Ontario.
For any special requests incurring additional charges, please contact the CSM secretariat prior to completion of registration.
Description Fee QTY Total
Per Booth $1,500.00 + HST ($195.00) = $1,695.00 $
Delegate Bag Advertising Inserts $500.00 + HST ($65.00) = $565.00 $
Final Program Advertising $500.00 + HST ($65.00) = $565.00 $
Additional Charges (as Negotiated) $ + HST
1 $
*A limited number of Technical Workshops will be available. Please contact Dr. Josh Neufeld: jneufeld@uwaterloo.ca 519-888-4567 ext. 38344 if interested in holding a Technical Workshop.
  Grand Total $

Payment Policy
Payment in Canadian funds must accompany this registration.
*Payment Method Cheque Payment   
Please make cheque payable to: Canadian Society of Microbiologists
Amounts are in Canadian Funds.

Cancellation Policy
A $60.00 administration fee will be withheld for cancellations received in writing prior to April 19, 2017.
No refunds will be issued after this date.

Untitled 1

CSM-SCM Secretariat
17 Dossetter Way
Ottawa, ON K1G 4S3

Tel: (613) 421-7229

Home | Site Map | Site Search |