EPOC 2017 Registration
Email address *
Name (as you wish it to appear on name tag, first and last) *
Your answer
Affiliation (as you wish it to appear on name tag) *
Your answer
Roommate preferences (if any)
Your answer
Dietary preference or restrictions
Anticipated mode of travel to/from EPOC 2017
Anticipated times of travel (EPOC starts late afternoon 17th, ends after lunch on 20th).
Your answer
Additional information (e.g., name and dietary preference of guest)
Your answer
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