Test Ignore – Ontario Rheumatology Association

Dev Test Product 2022

Your Name *

Title First Name Last Name

Email *

Address *

Address Address 2 City Province Postal Code

Participant Type *

Your attendance fee is based on this option.

Will you be bringing guests? *

Yes

Guests *

See below for different guest options:

Guest Name

Option

Free Guest Discount

Price: $ 0.00 CAD

Accessibility Concerns

Please enter any accessibility concerns for you and/or your guests if necessary.

Allergies / Dietary Notes

Please enter any dietary restrictions for you and/or your guests if necessary.

Sessions / Workshop Options

Room Options

Special Event Options

Survey

Please fill in the following:

Question

Answer

Total