Registration

Registration will be required for QCF Day 2009. Please complete the information in the form below and indicate whether you will be attending the dinner reception with the speakers on April 2. There is a registration fee of $30 which includes the speakers' reception on Thursday as well as the symposium and lunch on Friday. When you click 'Register' you will be transferred to another page to complete the registration payment process.


*Required fields
*First Name:
*Last Name:
*Email Address:
Name for Badge:
Address:
Address:
City:
State:
Zip/Postal Code:
Country:
University/Company:
Phone:
Affiliation with QCF:
Student Alumnus Interested outside person
Do you anticipate attending the speakers' reception on Thursday evening?
Yes No