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MREG Registration
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Last name
*
Your answer
Affiliation
*
Your answer
Academic status
*
Your answer
PhD Advisor (if applicable)
Your answer
Date of arrival
*
MM
/
DD
/
YYYY
Date of departure
*
MM
/
DD
/
YYYY
Would you like to be considered for financial support? (We request that all applicants first ask for local support)
*
Yes
No
If you are applying for financial support, please provide an estimate of your costs and list any other financial support you may have here:
Your answer
Description of your interest in the workshop (If you are applying for financial support)
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Are you interested in attending the conference dinner?
Yes
No
Maybe
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Additional comments
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