Channelopathy registration - June 25 to June 27 2020

Hôtel Le Concorde
1225, Cours du Général de Montcalm
Québec (QC) G1R 4W6 Canada

Gala Dinner Main dish #1
Cod and shrimp medley
Chowder sauce, leeks, tomatoes and potatoes

Gala Dinner Main dish #2
Organic chicken and prosciutto ballotine
Meaux mustard and cooking jus sauce, Charlevoix cheese aligot and seasonal vegetables

Please advise us for any allergies or restriction
by contacting as soon as possible Valérie Pouliot at valerie.pouliot@cervo.ulaval.ca

Transaction
Early Bird Student (CAD$)
x
$
$
Early Bird Academic (CAD$)
x
$
$
Early Bird Corporate (CAD$)
x
$
$
Gala Dinner Main dish # 1 Cod and shrimp medley (CAD$)
x
$
$
Gala Dinner Main dish # 2 Organic chicken and prosciutto ballotine (CAD$)
x
$
$
I would like to make a donation to Fondation CERVO
$
Total:
$
Organization's registration number: 
141761155RR0001
Time remaining in your session: 10