Regional Meeting Questionnaire – PI

Name

First Last

Do you plan on attending the PI & Regional Meeting in Toronto (June 12th [9am-5pm; 4pm-9pm] & 13th [8am-5pm]?)(Required)

Yes (June 12 & 13)

Yes (June 12 only)

Yes (June 13 only)

Do you require a hotel room (if you live within an hour of Toronto, you are not eligible)?(Required)

Yes (June 11 & 12)

Yes (June 11, 12, 13)

Do you have any dietary restrictions?(Required)