TIP Northwest 2020 - Registration Form
[Please scroll down to the bottom of this form to submit registration]
Full Name *
As you would like it recorded on your conference name tag.
Your answer
Preferred Gender Pronouns (if any)
Your answer
Institution *
Where do you teach?
Your answer
City, State/Province *
Your answer
Email Address *
Your answer
Would you be willing to facilitate a round-table discussion on a teaching topic? (No prep required.) *
Do you have any dietary restrictions? *
Unfortunately, we may not be able to accommodate every dietary restriction. In such a situation, we will be in touch.
How are you paying? *
Name on Paypal account IF not conference attendee.
(e.g., Institution or Company Name, Spouse's Name, etc.)
Your answer
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