PXE Research Meeting Registration 2020
Meeting dates: October 14 and 15, 2020
Event Address: Your home (Zoom link will be distributed after you register)
Email address *
First Name *
Last Name *
City *
Country *
Time Zone *
Cell phone *
Affiliation (Institution/Company) *
You can share my name in the contact list of attendees *
Preferred breakout session (we will breakout into workgroups to define these parameters for the global natural history study) *
I am interested in these aspects of PXE research:
Dietary restrictions (just kidding, we were going to feed you a gastronomique delight, but you have to eat in your own kitchen :)
Clear selection
Please donate $25 (or more) to PXE International to defray staff and Zoom costs and continue support of PXE research.
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy