Institute for Quantum Science and Technology, University of Calgary

This form will allow you to register for the Tenth Annual Quantum Information Students Conference
(24-28 June 2013)

Back to Student Conference web page

Registration is $50.00 for the student conference.

Payment link for IQST Members:

* fields required, tab between fields

Register for the Quantum Information Students` Conference:

First name*:

Last name*:

Gender: Male Female

Department:

University or Institution*:

Mailing Address:

Country:

Email*:

Confirm email*:

Web address:

Phone:

Fax:

Position:

Name of Advisor (if applicable):

How did you hear about this school and/or conference?

Preferred information on name tag:

Name:

Organization:

Will you require accomodation? Yes No

How many nights? all
Or certain nights only: 23 24 25 26 27 28

Roommate preference (name)?

Will attend the banquet:
Yes No

Special dietary requirements (for banquet and meals):

Will you be presenting a talk or a poster at the conference?
Talk Poster None

Tentative title of conference talk or poster:

You will be asked to submit an abstract.

Any additional information:

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Last updated Sep 26, 2012