CEI Registration Spring 2012


Please note: registration is 90% full so please submit your registration below to confirm a spot!



Registration fee is $3,200.

Registration fee includes all study materials, continental breakfasts, lunches and one dinner.

The University maintains program effectiveness by limiting the program numbers to a maximum of 32 participants and requires a minimum of 15 participants.

In the event of cancellation before the program begins, the registration fee will be refunded less a $150 administration fee. For cancellation within 4 days of the beginning of the program, a 50% refund will be issued unless a substitution is arranged.

Under exceptional circumstances financial assistance may be available. Please send an email to clinepi.courses@utoronto.ca for more information.

Because we do not have an online payment option, please print a copy of this form, before you submit it online, and mail it along with a cheque payable to "University of Toronto" to the address below:

Institute of Health Policy, Management and Evaluation
University of Toronto
Clinical Epidemiology Institute Spring 2012
155 College Street, Suite 425
Toronto, ON M5T 3M6


Hitting the "Preview" button will take you to a Response Preview page which you will be able to print (for mailing with your cheque) before you hit the "Submit" button.

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Title (Dr, Mr, Mrs, Ms)
Last Name
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Address 1
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Email
 
Assistant's Name
Assistant's Telephone
Assistant's Email