MAAGC-2016-Registration

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First Name *

Last Name *

Institution *

Email address *

Affiliation *

Undergraduate student

Graduate student

Postdoc or non-tenure-track faculty

Tenure-track or tenured faculty

Other:

Title of poster and name of advisor (for students and postdocs applying to participate in the poster session)

Decisions will be made within five days of registration. Please contact the organizers if you have not heard within that timeframe.

Estimated travel costs (if requesting funds), including an approximate breakdown of costs.

Funds are primarily for junior participants presenting posters. Please note that we have very limited funds to defray costs.

Other comments (including information about child care requests)

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