IMPACT13 Registration Form

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Name :

Gender :

Title :

Institutional affiliation :

Email :

Phone :

Website :

Ticket type :

Rate for professional person:

	Standard rate starting August 1st: $450
	Day pass rate: $175
	UQTR employees: $300

Student rate:

	Non-volunteer for the 4 days: $175
	Volunteer for the 4 days: $125
	Day pass rate (non-volunteer for the 4 days): $75
	Day pass rate (volunteer for the 4 days): $50

I would like to go to the specially reserved restaurant on Saturday evening, October 11, to mark the end of the IMPACT13 conference. I understand that the meal will need to be paid for on-site. This is not a reservation. The details of the location and time will be sent to me later by email.

I would like to participate in the Open Portfolio. I will be able to occupy a table approximately 26 x 60 inches (presenting my works or productions) for half a day over 2 days at the IMPACT13 conference. This opportunity is offered free of charge.

Traitée

Mardi, 04 nov. 2025

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