To register via mail or email using a Microsoft Word document rather than this Web form, please use the Toronto Registration Word Document.

Annual Conference 2007 - Toronto

ANMF Eleventh Annual Conference
CNMS First Annual Conference
June 22-24, 2007

Toronto, Ontario
Canada
 

Advancement of Healthcare in Nepal through Collaboration
 

Registration Form

Name: First ______________________ Middle ___________________ Last _____________________________

Title: _______________________________________________________________________________________

Institution: __________________________________________________________________________________

Mailing Address:

Mailing Address:

Street Address _________________________________________________________________________

City______________________________________________ State______________ Zip Code__________

Telephone  (         )  __ __ __ - __ __ __ __        Email_________________________________________

Name of spouse or partner attending conference: _____________________________

Registration:

		Alone		With spouse/partner
Medical doctors, dentists, etc.		$100		$150
Medical doctors doing residency		$50		$75
All others except students		$50		$75
Students		$30		$45

Please make check or money order payable to America Nepal Medical Foundation and mail it with your registration form to:

America Nepal Medical Foundation
2743 South Veterans Pkwy, PMB#302
Springfield, IL 62704 USA

Please fill out this registration form and mail it before June 1, 2007.

Program:

To see the program for the 2007 annual conference, please see Toronto Program.

Venue and Accommodations:

89 Chestnut
89 Chestnut Street
Toronto, Ontario
M5G 1R1, Canada

Phone reservations:  416-977-0707
On line reservations

Single - $84, Double - $94 (Canadian dollars).

The America Nepal Medical Foundation (ANMF) 2007 conference is being hosted jointly with our newly formed sister organization Canada Nepal Medical Society (CNMS). To qualify for the special room rates listed above, attendees must let the hotel reservation clerks know that you will be attending the CNMS (Canada Nepal Medical Society) event; most likely they will not recognize the America Nepal Medical Foundation (ANMF), as their booking system allows them to record only a single sponsor. To be sure you qualify, use the conference code CANNPL0622. Conference rates at this hotel are available for several days before and after the meeting for those who wish to extend their visits.

All reservations must be received by Wednesday, May 23, 2007. After this date, any remaining rooms will be released for general sale, and will be offered on a space available basis at the prevailing rates.

For more information, please contact:

Ian Macmillan, MD, Conferenceanmf.net
Janak Koirala, MD, MPH, Chairanmf.net