Workshop Registration Form

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Workshop Registration Form

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Email *

Your answer

Affiliation *

Your answer

Job Title *

Assistant Professor

Associate Professor

Professor

Other:

Are you interested in presenting a poster? *

Yes (Please see "Poster Session" page for details.)

No

Will you need travel support? *

Yes

No

Please specify any dietary restrictions *

Your answer

Submit

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