Cannexus26 - Nomination Form

Please complete this form to apply for a scholarship to attend the Cannexus26

Everyone should answer questions 1 through 6.

REQUIRED

1. Given Name:*

REQUIRED

2. Family Name:*

REQUIRED

3. Email:*

REQUIRED

4. Contact number:*

REQUIRED

5. Country*

REQUIRED

6. Do you certify that, if you are selected, you will attend as many conference sessions as possible?*

Submit