Name* First Last Email* I am a Med phys grad program student Med phys grad program alumnus Other student OMPI member Carleton faculty, non-OMPI member Other Check all that applyIf other, give affiliation*Are you considering bringing a poster? (available space is 4' x 4')*YesNoCan you provide the specifics of the poster now?*Yes, I can provide details now.Not at the moment, please follow up.Please enter title of poster*Please list all authors and their affiliation*Will you be attending the dinner? ($50+HST)*YesNoPlease note: This price does not include alcoholic drinksDo you have any dietary restrictions?*Do you wish to bring a guest? ($50+HST)YesNoGuest name* First Last Does your guest have any dietary restrictions?*Product Name Price: $0.00 Total $0.00