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Biostatistics, Design and Analysis Workshop: Analysis of Variance (ANOVA) February 14th, 2013 1:00pm to 4:30pm Location: CHES, 123 Edward Street, 12th Floor, Room 1218 REGISTRATION FORM Title/Position: Organization: Address: Dept: Postal Code REGISTRATION FEE : SickKids Staff/Students/Trainees/Fellows $75, Non-SickKids $100 (Note: We have a NO REFUND policy) Registered workshop attendees will receive handouts and a copy of the PowerPoint slides. Attendees will receive certification upon completion of the workshop. Please make cheque payable to HOSPITAL FOR SICK CHILDREN Registration Information To register, please submit your completed registration form by email or by mail to Biostatistics Design and Analysis Unit The Hospital for Sick Children Attn: Nadine Francis 123 Edward St., Suite 411 Toronto, Ontario, Canada M5G 1E2 If you are paying by credit card, simply fax registration form to 416 813-7584 or email to Nadine Francis at [email protected] For registration information, please contact: Nadine Francis at 416-813-7654 ext:3487 METHODS OF PAYMENT VISA MASTER CARD CHEQUE ENCLOSED Cardholder Name [Printed] Expiration Date: Credit Card Number Authorized Signature Date: Name: Attendee Information Email Note: Refunds cannot be processed, but substitutes are welcome Telephone Payment via Cost Centre for members of SickKids. Cost Centre Number:
