HCIC 2025 - Faculty/Industry Attendee Registration Form
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Email *
First and Last Name *
Please use this space to specify how you would like your name to appear on your name badge, if different from above.
Pronouns (optional, check all that apply)
Position title *
University, Institution, or Company Name *
Phone number
Billing Address
*
After completing this form, you will receive an invoice for payment of the registration fee by email from our credit card processor, Talech. If you would like an administrator to receive the invoice, put their name and email address here. (You will be cc'd.) If you would like to receive the invoice directly, skip this question.
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