2024 WIPCE Coolangatta Symposium Inquiry Form

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Aloha, mahalo for your interest in the 2024 WIPCE Coolangatta Symposium on Hawaiʻi Island. Please fill out the form below, and we will respond within 3 Business days with more information on how to register. This symposium is by invite only, so we appreciate your patience with our registration process. For more information on the registration process please visit www.WIPCEinternational.com/2024-symposium.

Email *

First Name *

Last Name *

Preferred Name *

Title

Preferred Pronoun

City *

State/Province *

Country *

Phone Number (Please include your Country's Code)

Tribal/Cultural Affiliation *

Organization *

I was invited to register by... *

I am interested in (check all that apply) *

Registering myself

Registering another individual

Registering a group of associates

Registering youth (16-23 years old)

Required

May we include your information in our WIPCE contact list for future updates on WIPCE events and activities? *

Yes

A copy of your responses will be emailed to the address you provided.

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