HTI 2018 Registration Form
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Name
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Affiliation
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Occupation
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Email
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Mailing Address
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Is this your first HTI?
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How did your hear about us?
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Payment Method
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Personal check*
*Please make checks payable to: Haskins Laboratories Checks may be sent to: HTI c/o Annie Stutzman 300 George Street, Suite 900 New Haven, CT 06511
Food allergies or restrictions (We will try to accommodate as much as possible)
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