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2019 Pacific Undergraduate Research Conference Presenter Registration
One Registration per presentation.
Multiple authors require only one registration.
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Student #1 Last Name *
Student #1 First Name *
Student #1 Email *
Format of Presentation *
Special requirements for presentation?  (Please answer for Multi-Media presentations)
Presentation Title *
Department(s) *
Advisor(s) *
Student #2 Last Name
Student #2 First Name
Student #2 Email
List additional authors and status (ie. Jane Doe, faculty advisor-OHSU; Jack Doe, Pacific student, John Smith, Pacific Alum)
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