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HIACON19 Special Rate Form for Academic Faculty, Researchers, Students, & Government Officials & Representatives
This for is for students, college faculty, or members of a state or federal government administration to qualify for a reduced rate to attend HIACON 2019 at the Westin Charlotte on November 1st - 4th. Your credentials qualify you for a discount on regular registration.
First Name *
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Last Name *
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Please provide the name of your educational institution or the government agency/office for which you work: *
Your answer
If you are a student, please provide your field of study and your expected graduation date:
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Please provide a valid email address (this must reflect the government agency/office, or educational institution that your are a part of): *
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Please provide your phone number: *
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If you are a student, please provide your field of study and your expected graduation date:
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