ICOM 2017 Dinner Cruise Guest Registration
Complete this form to register a guest for ONLY the dinner cruise Thursday August 3, 2017 . Each guest must be registered separately.

Note that guests who wish to participate in all of the meeting social events (welcome reception, poster sessions, and dinner cruise) should register as guests through www.icom2017.org. Additionally, registration for the technical program is separate and also should be completed through www.icom2017.org.

Payment of 140 USD must be made through PayPal prior to the event. Payment information will be sent upon receipt of this registration form.

Guest Name *
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Contact Name (person completing this form) *
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Contact Email *
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Contact Phone *
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Special Requests
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